Synthetic peptides and vaccines comprising same

ABSTRACT

The present invention relates generally to chimeric peptides comprising one or more protective epitopes in a conformation enabling inmunological interactivity and to vaccine compositions comprising same. The present invention is particularly directed to a chimeric peptide capable of inducing protecting antibodies against Group A streptococci.

The present invention relates generally to chimeric peptides comprising one or more protective epitopes in a conformation enabling immunological interactivity and to vaccine compositions comprising same. The present invention is particularly directed to a chimeric peptide capable of inducing protective antibodies against Group A streptococci.

Bibliographic details of the publications referred to in this specification by author are collected at the end of the description. Sequence Identity Numbers (SEQ ID NOs.) for the amino acid sequences referred to in the specification are defined following the bibliography.

Throughout this specification, unless the context requires otherwise, the word “comprise”, or variations such as “comprises” or “comprising”, will be understood to imply the inclusion of a stated element or integer or group of elements or integers but not the exclusion of any other element or integer or group of elements or integers.

Many proteins which may be useful vaccine candidates against several diseases have a coiled-coil structure, an important structural and biologically abundant motif found in a diverse group of proteins (Cohen and Parry, 1990, 1986). More than 200 proteins have now been predicted to contain coiled coil domains (Lupas et al., 1991). These include surface proteins of certain bacteria such as streptococcal protein A and M proteins; viruses such as influenza hemagglutinin and human immunodeficiency virus (HIV) glycoprotein gp45; and protozoa such as VSG of Trypanosomes. All coiled coil motifs share a characteristic seven amino acid residue repeat (a-b-c-d-e-f-g)_(n). The x-ray structure of several coiled-coil domains have been solved and these include the leucine zipper portion of the yeast transcription factor GCN4 dimer (O'Shea et al. 1991), the repeat motif of α-spectrin (Yan, 1993), together with the GCN4 leucine zipper trimer (Harbury et al., 1994) and tetramer (Harbury et al., 1993) mutants.

In the development of a subunit vaccine based on these proteins, it is generally difficult to map epitopes within the coiled coil structure. Furthermore, protective epitopes may need to be presented in the correct conformation for immunological recognition, such as antibody binding. This is especially important in defining a stable minimal epitope and using it as a vaccine.

Group A streptococci (hereinafter referred to as “GAS”) are the causative agent of several human diseases and can lead to acute rheumatic fever which causes serious heart disease. Rheumatic fever may represent an autoimmune illness initiated by cross-interactivity between the streptococcal M protein and cardiac antigens (Beachey et al., 1988). The M protein contains a seven-residue periodicity strongly suggesting that the central rod region of the molecule is in a coiled-coil conformation (Manula and Fischetti, 1980). Overlapping peptides have been made that span this region (see International Patent Application No. PCT/AU93/00131 [WO 93/21220]) and mouse antibodies raised against one synthetic 20mer peptide (designated “p145”) from the highly conserved C-terminal region can opsonise and kill multiple isolates of GAS (Pruksakorn et al., 1994a). In addition, p145 can inhibit in vitro killing mediated by human sera. Of concern is that p145 may also stimulate heart cross-reactive T cells (Pruksakorn et al., 1992; 1994b). The B cell epitope within p145 is thought to be conformational because truncated peptides fail to elicit a protective antibody response (Pruksakorn, 1994). There is a need, therefore, to define the minimal region of p145 that is required to induce opsonic antibodies; this could then form the basis of a vaccine. Such a method would enable the identification of the minimal epitopic regions from a range of proteins from pathogens.

One method that has been used to map minimal epitopes from antigens is the PEPSCAN method (Geysen et al., 1987). However, the short peptides used only indicate sequential or continuous epitopes. Other methods to determine conformational epitopes, that is epitopes formed by the tertiary structure of the protein, rely upon mimotope strategies. A mimotope is a mimic of the epitope which induces the antibody. Peptides can be synthesised on polypropylene pins covering the total repertoire of octapeptides which can be made using the 20 common amino acids, i.e. 20⁸ peptides (Geysen et al., 1987). Alternatively, an epitope library consisting of a vast mixture of filamentous phage clones, each displaying one peptide sequence on the virion surface, can be surveyed for antibody recognition (Scott and Smith, 1990).

In accordance with the present invention, overlapping peptides derived from a conformational epitope are embedded within a peptide having a similar native conformation. This approach has the potential to be used in the mapping of a range of conformational epitopes and design of minimal epitopes as vaccine candidates against GAS and a variety of other pathogens.

Accordingly, one aspect of the present invention contemplates a chimeric peptide comprising a first amino acid sequence comprising a conformational epitope inserted within a second amino acid sequence wherein said first and second amino acid sequences are derived from peptides, polypeptides or proteins having similar native conformations.

In accordance with this aspect of the present invention, the second amino acid sequence constitutes a “framework peptide” and provides an appropriate conformation for the chimeric peptide. A framework peptide is selected or otherwise engineered to provide a similar conformation to the first amino acid sequence such as in its naturally occurring form. In its most preferred embodiment, the framework peptide assumes a α-helical coiled coil conformation and is, therefore, useful in presenting epitopes present in the first amino acid sequence in a similar conformation, i.e. an α-helical coiled coil conformation.

According to this preferred aspect of the present invention there is provided a chimeric peptide comprising a first amino acid sequence comprising a conformational epitope inserted within a second amino acid sequence wherein said second amino acid sequence folds to an α-helical coiled coil conformation.

The present invention is particularly exemplified herein by the first amino acid sequence being derived from the streptococcal M protein and in particular comprising a B-cell conformational epitope from within the following amino acid sequence (using the single letter abbreviation for amino acid residues):

L R R D L D A S R E A K K Q V E K A L E (SEQ ID NO:1),

or functional and/or chemical equivalents of one or more of these amino acid residues.

Accordingly, a particularly preferred embodiment of the present invention is directed to a chimeric peptide comprising a first amino acid sequence having at least three amino acids selected from within the following sequence:

L R R D L D A S R E A K K Q V E K A L E (SEQ ID NO:1),

wherein said at least three amino acids constitute a conformational B-cell epitope from streptococcal M protein and wherein said first amino acid sequence is inserted within a second amino acid sequence capable of folding to an α-helical coiled coil conformation. Preferably, the first amino acid sequence comprises at least five, more preferably at least ten and even more preferably at least fifteen contiguous amino acid residues.

Alternatively, non-contiguous amino acids may be selected such as those on the outside face of the helix and which are required or sufficient for activity.

The construction of a framework peptide is based on the seven amino acid residue repeat:

(a-b-c-d-e-f-g)_(n)

where a and d positions preferably have large apolar residues, positions b, c and f are generally polar and charged and positions e and g generally favour interchain ionic interactions. A particularly preferred framework peptide is based on the structure of a peptide corresponding to GCN4 leucine zipper (O'Shea et al., 1989; 1991) or its trimer (Harbury et al., 1994) or tetramer (Harbury et al., 1993) and the repeat motif of αspectrin (Yan, 1993). The GCN4 leucine zipper is particularly preferred and a model heptad repeat derived from the consensus features of the GCN4 leucine zipper peptide comprises the sequence:

V K Q L E D K (SEQ ID NO:2),

which gives a framework peptide of four heptad repeats denoted herein (GCN4)₄. Where required, the framework peptide could be or may need to be longer than the four repeats.

The first amino acid sequence is then embedded within the framework coiled coil peptide to give a chimeric peptide.

The chimeric peptides of the present invention may be produced by recombinant means or may be chemically synthesised by, for example, the stepwise addition of one or more amino acid residues in defined order using solid phase peptide synthetic techniques. Where the peptides may need to be synthesised in combination with other proteins and then subsequently isolated by chemical cleavage or alternatively the peptides or polyvalent peptides may be synthesised in multiple repeat units. The peptides may comprise naturally occurring amino acid residues or may also contain non-naturally occurring amino acid residues such as certain D-isomers or chemically modified naturally occurring residues. These latter residues may be required, for example, to facilitate or provide conformational constraints and/or limitations to the peptides. The selection of a method of producing the subject peptides will depend on factors such as the required type, quantity and purity of the peptides as well as ease of production and convenience.

The chimeric peptides of the present invention may first require their chemical modification for use in vivo since the peptides themselves may not have a sufficiently long serum and/or tissue half-life. Chemical modification of the subject peptides may also be important to improve their antigenicity including the ability for certain regions of the peptides to act as B and/or T cell epitopes. Such chemically modified chimeric peptides are referred to herein as “analogues”. The term “analogues” extends to any functional chemical or recombinant equivalent of the chimeric peptides of the present invention characterised, in a most preferred embodiment, by their possession of at least one B cell epitope from the M protein of GAS and wherein an antibody reactive to the B cell epitope is only minimally reactive with human heart tissue. The term “analogue” is also used herein to extend to any amino acid derivative of the peptides as described above.

Analogues of the chimeric peptides contemplated herein include, but are not limited to, modifications to side chains, incorporation of unnatural amino acids and/or their derivatives during peptide synthesis and the use of crosslinkers and other methods which impose conformational constraints on the peptides or their analogues.

Examples of side chain modifications contemplated by the present invention include modifications of amino groups such as by reductive alkylation by reaction with an aldehyde followed by reduction with NaBH₄; amidination with methylacetimidate; acylation with acetic anhydride; carbamoylation of amino groups with cyanate; trinitrobenzylation of amino groups with 2, 4, 6-trinitrobenzene sulphonic acid (TNBS); acylation of amino groups with succinic anhydride and tetrahydrophthalic anhydride; and pyridoxylation of lysine with pyridoxal-5′-phosphate followed by reduction with NaBH₄.

The guanidine group of arginine residues may be modified by the formation of heterocyclic condensation products with reagents such as 2,3-butanedione, phenylglyoxal and glyoxal.

The carboxyl group may be modified by carbodiimide activation via O-acylisourea formation followed by subsequent derivitisation, for example, to a corresponding amide.

Sulphydryl groups may be modified by methods such as carboxymethylation with iodoacetic acid or iodoacetamide; performic acid oxidation to cysteic acid; formation of a mixed disulphides with other thiol compounds; reaction with maleimide, maleic anhydride or other substituted maleimide; formation of mercurial derivatives using 4-chloromercuribenzoate, 4-chloromercuriphenylsulphonic acid, phenylmercury chloride, 2-chloromercuri-4-nitrophenol and other mercurials; carbamoylation with cyanate at alkaline pH.

Tryptophan residues may be modified by, for example, oxidation with N-bromosuccinimide or alkylation of the indole ring with 2-hydroxy-5-nitrobenzyl bromide or sulphenyl halides. Tyrosine residues on the other hand, may be altered by nitration with tetranitromethane to form a 3-nitrotyrosine derivative.

Modification of the imidazole ring of a histidine residue may be accomplished by alkylation with iodoacetic acid derivatives or N-carbethoxylation with diethylpyrocarbonate.

Examples of incorporating unnatural amino acids and derivatives during peptide synthesis include, but are not limited to, use of norleucine, 4-amino butyric acid, 4-amino-3-hydroxy-5-phenylpentanoic acid, 6-aminohexanoic acid, t-butylglycine, norvaline, phenylglycine, ornithine, sarcosine, 4-amino-3-hydroxy-6-methylheptanoic acid, 2-thienyl alanine and/or D-isomers of amino acids.

Crosslinkers can be used, for example, to stabilise 3D conformations, using homo-bifunctional crosslinkers such as the bifunctional imido esters having (CH₂)_(n) spacer groups with n=1 to n=6, glutaraldehyde, N-hydroxysuccinimide esters and hetero-bifunctional reagents which usually contain an amino-reactive moiety such as N-hydroxysuccinimide and another group specific-reactive moiety such as maleimido or dithio moiety (SH) or carbodiimide (COOH). In addition, peptides can be conformationally constrained by, for example, incorporation of C_(α) and N_(α)-methylamino acids, introduction of double bonds between C_(α) and C_(β) atoms of amino acids and the formation of cyclic peptides or analogues by introducing covalent bonds such as forming an amide bond between the N and C termini, between two side chains or between a side chain and the N or C terminus.

The present invention provides, therefore, a conformational epitope such as from streptococcal M protein in a hybrid molecule such that the epitope is provided in a functional conformational state such that it is capable of being immunologically interactive.

The present invention contemplates, therefore, a method for determining a minimal epitope on an antigenic peptide, polypeptide or protein, said method comprising determining native conformation of said peptide, polypeptide or protein or a portion thereof carrying a putative epitope; preparing peptide fragments of said peptide, polypeptide or protein; inserting or otherwise presenting said peptide fragments in a second peptide derived from or based on another peptide, polypeptide or protein having a similar native conformation to said first mentioned peptide, polypeptide or protein such that the putative epitope on the peptide fragment is presented in a conformation capable of immunological interactivity; and then screening said peptide fragments for immunological interactivity.

In a related aspect of the present invention there is provided a method for mapping regions of amphipathic helices on a peptide, polypeptide or protein which are recognised by antibodies, said method comprising determining native conformation of said peptide, polypeptide or protein or a portion thereof carrying a putative epitope; preparing peptide fragments of said peptide, polypeptide or protein; inserting or otherwise presenting said peptide fragments in a second peptide derived from or based on another peptide, polypeptide or protein having a similar native conformation to said first mentioned peptide, polypeptide or protein such that the putative epitope on the peptide fragment is presented in a conformation capable of immunological interactivity, then screening said peptide fragments for immunological interactivity.

Amphipathic helices which are recognised by antibodies may become valuable vaccine candidates. An amphipathic helix is a more common structural element in proteins and may be surface exposed (antigenic) or play a role in interactions with other proteins. A helical coiled coil is a more complex form of a helix which interacts to form homo-dimers, trimers and tetramers.

By “immunological interactivity” is meant any form of interaction with immune cells or immune effector cells and/or any form of immune response. Generally, immunological interactivity is measured by antibody binding or interactivity with the peptide fragment. However, the immunological interactivity also extends to measuring cellular immune responses.

It is important in therapeutic and diagnostic development to determine the minimal epitope capable of providing immunological interactivity and, for therapy, capable of inducing a protective immune response. Accordingly, the chimeric peptides of the present invention, including methods of their production, are particularly useful in vaccine development. Again, in its exemplified and preferred form, the present invention provides a chimeric peptide for use in a vaccine against GAS. This is done, however, with the understanding that the present invention extends to chimeric peptides useful in inducing a protective immune response against pathogenic microorganisms including bacteria, parasites, yeasts, fungi and protozoa or against viruses such as retroviruses, influenza viruses, hepatitis viruses and immunodeficiency viruses and in particular HIV.

Accordingly, a preferred aspect of the present invention provides a vaccine useful against Group A streptococci said vaccine comprising a chimeric peptide comprising a first amino acid sequence having at least three amino acids selected from within the following sequence:

L R R D L D A S R E A K K Q V E K A L E (SEQ ID NO:1),

wherein said at least three amino acids constitute a conformational B-cell epitope from streptococcal M protein and wherein said first amino acid sequence is inserted within a second amino acid sequence capable of folding to an α-helical coiled coil conformation, said vaccine further comprising one or more pharmaceutically acceptable carriers and/or diluents. The vaccine may further comprise an adjuvant and/or other immune stimulating molecules. Preferably, the second amino acid sequence forms a framework peptide derived from GCN4. Contiguous or non-contiguous amino acids from SEQ ID NO:1 may be selected as discussed above.

Another aspect of the present invention contemplates a vaccine useful in the development of humoral immunity to M protein but minimally cross reactive with heart tissue said vaccine comprising a chimeric peptide comprising a first amino acid sequence carrying at least one B cell epitope from the M protein wherein an antibody reactive with said B cell epitope is only minimally reactive with heart tissue, said first amino acid sequence inserted into a second amino acid sequence capable of folding into an α-helical coiled coil formation and said vaccine further comprising one or more pharmaceutically acceptable carriers and/or diluents.

The vaccine may contain a single peptide type or a range of peptides covering different or similar epitopes. In addition, or alternatively, a single polypeptide may be provided with multiple epitopes. The latter type of vaccine is referred to as a polyvalent vaccine. A multiple epitope includes two or more repeating epitopes.

The formation of vaccines is generally known in the art and reference can conveniently be made to Remington's Pharmaceutical Sciences, 17th ed., Mack Publishing Co., Easton, Pa., USA.

The present invention, therefore, contemplates a pharmaceutical composition or vaccine composition comprising a humoral immunity developing effective amount of a chimeric peptide (as hereinbefore defined) or its derivatives, analogues or homologues and/or combinations thereof including other active molecules and one or more pharmaceutically acceptable carriers and/or diluents. The active ingredients of a pharmaceutical composition comprising the chimeric peptide are contemplated herein to exhibit excellent therapeutic activity, for example, in the development of antibodies to M protein of streptococci but said antibodies being only minimally reactive with heart tissue when administered in amount which depends on the particular case. For example, from about 0.5 ug to about 20 mg per kilogram of body weight per day may be administered. Dosage regima may be adjusted to provide the optimum therapeutic response. For example, several divided doses may be administered daily or the dose may be proportionally reduced as indicated by the exigencies of the therapeutic situation. The active compound may be administered in a convenient manner such as by the oral, intravenous (where water soluble), intramuscular, subcutaneous, intranasal, intradermal or suppository routes or implanting (eg using slow release molecules). Depending on the route of administration, the active ingredients which comprise a chimeric peptide may be required to be coated in a material to protect said ingredients from the action of enzymes, acids and other natural conditions which may inactivate said ingredients. For example, the low lipophilicity of the chimeric peptides will allow them to be destroyed in the gastrointestinal tract by enzymes capable of cleaving peptide bonds and in the stomach by acid hydrolysis. In order to administer chimeric peptides by other than parenteral administration, they will be coated by, or administered with, a material to prevent its inactivation. For example, chimeric peptides may be administered in an adjuvant, co-administered with enzyme inhibitors or in liposomes. Adjuvant is used in its broadest sense and includes any immune stimulating compound such as interferon. Adjuvants contemplated herein include resorcinols, non-ionic surfactants such as polyoxyethylene oleyl ether and n-hexadecyl polyethylene ether. Enzyme inhibitors include pancreatic trypsin inhibitor, diisopropylfluorophosphate (DFP) and trasylol. Liposomes include water-in-oil-in-water emulsions as well as conventional liposomes.

The active compounds may also be administered parenterally or intraperitoneally. Dispersions can also be prepared in glycerol, liquid polyethylene glycols, and mixtures thereof and in oils. Under ordinary conditions of storage and use, these preparations contain a preservative to prevent the growth of microorganisms.

The pharmaceutical forms suitable for injectable use include sterile aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion. In all cases the form must be sterile and must be fluid to the extent that easy syringability exists. It must be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol and liquid polyethylene glycol, and the like), suitable mixtures thereof and vegetable oils. The proper fluidity can be maintained, for example, by the use of a coating such as licithin, by the maintenance of the required particle size in the case of dispersion and by the use of superfactants. The preventions of the action of microorganisms can be brought about by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, thirmerosal and the like. In many cases, it will be preferable to include isotonic agents, for example, sugars or sodium chloride. Prolonged absorption of the injectable compositions can be brought about by the use in the compositions of agents delaying absorption, for example, aluminum monostearate and gelatin.

Sterile injectable solutions are prepared by incorporating the active compounds in the required amount in the appropriate solvent with various of the other ingredients enumerated above, as required, followed by filtered sterilization. Generally, dispersions are prepared by incorporating the various sterilized active ingredient into a sterile vehicle which contains the basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation are vacuum drying and the freeze-drying technique which yield a powder of the active ingredient plus any additional desired ingredient from previously sterile-filtered solution thereof.

When the chimeric peptides are suitably protected as described above, the active, compound may be orally administered, for example, with an inert diluent or with an assimilable edible carrier, or it may be enclosed in hard or soft shell gelatin capsule, or it may be compressed into tablets, or it may be incorporated directly with the food of the diet. For oral therapeutic administration, the active compound may be incorporated with excipients and used in the form of ingestible tablets, buccal tablets, troches, capsules, elixirs, suspensions, syrups, wafers, and the like. Such compositions and preparations should contain at least 1% by weight of active compound. The percentage of the compositions and preparations may, of course, be varied and may conveniently be between about 5 to about 80% of the weight of the unit. The amount of active compound in such therapeutically useful compositions in such that a suitable dosage will be obtained. Preferred compositions or preparations according to the present invention are prepared so that an oral dosage unit form contains between about 0.1 ug and 2000 mg of active compound.

The tablets, troches, pills, capsules and the like may also contain the following: A binder such as gum tragacanth, acacia, corn starch or gelatin; excipients such as dicalcium phosphate; a disintegrating agent such as corn starch, potato starch, alginic acid and the like; a lubricant such as magnesium stearate; and a sweetening agent such a sucrose, lactose or saccharin may be added or a flavouring agent such as peppermint, oil of wintergreen, or cherry flavouring. When the dosage unit form is a capsule, it may contain, in addition to materials of the above type, a liquid carrier. Various other materials may be present as coatings or to otherwise modify the physical form of the dosage unit. For instance, tablets, pills, or capsules may be coated with shellac, sugar or both. A syrup or elixir may contain the active compound, sucrose as a sweetening agent, methyl and propylparabens as preservatives, a dye and flavouring such as cherry or orange flavour. Of course, any material used in preparing any dosage unit form should be pharmaceutically pure and substantially non-toxic in the amounts employed. In addition, the active compound may be incorporated into sustained-release preparations and formulations.

As used herein “pharmaceutically acceptable carrier and/or diluent” includes any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents and the like. The use of such media and agents for pharmaceutical active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active ingredient, use thereof in the therapeutic compositions is contemplated. Supplementary active ingredients can also be incorporated into the compositions.

It is especially advantageous to formulate parenteral compositions in dosage unit form for ease of administration and uniformity of dosage. Dosage unit form as used herein refers to physically discrete units suited as unitary dosages for the mammalian subjects to be treated; each unit containing a predetermined quantity of active material calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier. The specification for the novel dosage unit forms of the invention are dictated by and directly dependent on (a) the unique characteristics of the active material and the particular therapeutic effect to be achieved, and (b) the limitations inherent in the art of compounding such an active material for the treatment of disease in living subjects having a diseased condition in which bodily health is impaired as herein disclosed in detail.

The principal active ingredient is compounded for convenient and effective administration in effective amounts with a suitable pharmaceutically acceptable carrier in dosage unit form as hereinbefore disclosed. A unit dosage form can, for example, contain the principal active compound in amounts ranging from 0.5 μg to about 2000 mg. Expressed in proportions, the active compound is generally present in from about 0.5 μg to about 2000 mg/ml of carrier. In the case of compositions containing supplementary active ingredients, the dosages are determined by reference to the usual dose and manner of administration of the said ingredients.

Still another aspect of the present invention is directed to antibodies to the chimeric peptides. Such antibodies may be monoclonal or polyclonal and may be selected from naturally occurring antibodies to the M protein or may be specifically raised to the chimeric peptides. In the case of the latter, the peptides may need first to be associated with a carrier molecule. The antibodies and/or chimeric peptides of the present invention are particularly useful for immunotherapy and vaccination and may also be used as a diagnostic tool for infection or for monitoring the progress of a vaccination or therapeutic regima.

For example, the chimeric peptides can be used to screen for naturally occurring antibodies to M protein. Alternatively, specific antibodies can be used to screen for M protein. Techniques for such assays are well known in the art and include, for example, sandwich assays and ELISA.

In accordance with this aspect of the present invention, the chimeric peptides are particularly useful in screening for antibodies to M protein and, hence, provide a diagnostic protocol for detecting streptococcal infection. Alternatively, biological samples, such as blood serum, sputum, tissue and tissue extracts can be directly screened for M protein using antibodies raised to the chimeric peptides.

Accordingly, there is provided a method for the diagnosis of streptococcal infection in a subject comprising contacting a biological sample from said subject with an antibody binding effective amount of a chimeric peptide for a time and under conditions sufficient for an antibody-chimeric peptide complex to form, and then detecting said complex.

The presence of M protein antibodies in a patient's blood serum, tissue, tissue extract or other bodily fluid, can be detected using a wide range of immunoassay techniques such as those described in U.S. Pat. Nos. 4,016,043, 4,424,279 and 4,018,653. This includes both single-site and two-site, or “sandwich”, assays of the non-competitive types, as well as in the traditional competitive binding assays. Sandwich assays are among the most useful and commonly used assays and are favoured for use in the present invention. A number of variations of the sandwich assay technique exist, and all are intended to be encompassed by the present invention. Briefly, in a typical forward assay, a chimeric peptide is immobilised onto a solid substrate to form a first complex and the sample to be tested for M protein antibody brought into contact with the bound molecule. After a suitable period of incubation, for a period of time sufficient to allow formation of an chimeric-peptide-antibody secondary complex. An anti-immunoglobulin antibody, labelled with a reporter molecule capable of producing a detectable signal, is then added and incubated, allowing time sufficient for the formation of a tertiary complex of chimeric peptide-antibody-labelled antibody. Any unreacted material is washed away, and the presence of the first antibody is determined by observation of a signal produced by the reporter molecule. The results may either be qualitative, by simple observation of the visible signal or may be quantitated by comparing with a control sample containing known amounts of hapten. Variations of the forward assay include a simultaneous assay, in which both sample and labelled antibody are added simultaneously to the bound antibody, or a reverse assay in which the labelled antibody and sample to be tested are first combined, incubated and then added simultaneously to the bound antibody. These techniques are well known to those skilled in the art, and the possibility of minor variations will be readily apparent. A similar approach is adopted to detect M protein. The antibodies used above may be monoclonal or polyclonal.

The solid substrate is typically glass or a polymer, the most commonly used polymers being cellulose, polyacrylamide, nylon, polystyrene, polyvinyl chloride or polypropylene. The solid supports may be in the form of tubes, beads, discs or microplates, or any other surface suitable for conducting an immunoassay. The binding processes are well-known in the art and generally consist of cross-linking covalently binding or physically adsorbing the molecule to the insoluble carrier.

By “reporter molecule”, as used in the present specification, is meant a molecule which, by its chemical nature, produces an analytically identifiable signal which allows the detection of antigen-bound antibody. Detection may be either qualitative or quantitative. The most commonly used reporter molecule in this type of assay re either enzymes, fluorophores or radionuclide containing molecules (i.e. radioisotopes). In the case of an enzyme immunoassay, an enzyme is conjugated to the second antibody, generally by means of glutaraldehyde or periodate. As will be readily recognised, however, a wide variety of different conjugation techniques exist which are readily available to one skilled in the art. Commonly used enzymes include horseradish peroxidase, glucose oxidase, β-galactosidase and alkaline phosphatase, amongst others. The substrates to be used with the specific enzymes are generally chosen for the production, upon hydrolysis by the corresponding enzyme, of a detectable colour change. It is also possible to employ fluorogenic substrates, which yield a fluorescent product.

Alternatively, fluorescent compounds, such as fluorescein and rhodamine, may be chemically coupled to antibodies without altering their binding capacity. When activated by illumination with light of a particular wavelength, the fluorochrome-labelled antibody adsorbs the light energy, inducing a state of excitability in the molecule, followed by emission of the light at a characteristic colour visually detectable with a light microscope. As in the EIA, the fluorescent labelled antibody is allowed to bind to the first antibody-hapten complex. After washing off the unbound reagent, the remaining ternary complex is then exposed to the light of the appropriate wavelength, the fluorescence observed indicates the presence of the hapten of interest. Immunofluorescence and EIA techniques are both very well established in the art and are particularly preferred for the present method. However, other reporter molecules, such as radioisotope, chemiluminescent or bioluminescent molecules, may also be employed. It will be readily apparent to the skilled technician how to vary the procedure to suit the required purpose. It will also be apparent that the foregoing can be used to label chimeric peptides and to use same directly in the detection of M protein antibodies.

Yet a further aspect of the present invention contemplates the use of the chimeric peptides as herein described in the manufacture of a medicament for use as a vaccine against GAS.

In a related embodiment, the present invention provides an agent comprising a chimeric peptide as herein described useful as a vaccine against GAS.

The present invention is further described by reference to the following non-limiting Figure and Examples.

IN THE FIGURES

FIG. 1 Amino acid sequences of chimeric peptides. All sequences shown referenced to the α-helical coiled coil heptad repeat (a-b-c-d-e-f-g), shown below. A. Sequence of the model GCN4 peptide derived from the α-helical coiled coil GCN4 leucine zipper peptide (O'Shea et al. 1991). B. Sequence of the Streptococcal M protein peptide p145 (Pruksakorn et al. 1992) aligned with the putative coiled coil heptad repeat. C. Sequences of the chimeric J peptides (J1-9). Overlapping 12-mer fragments of p145 peptide shown in bold. Conservative amino acid residue replacements shown underlined. D. Sequence of the control GCN4 model peptide Jcon (G).

FIG. 2 Reactivity of anti-p145 mouse sera against J peptides, reactivity is plotted as a mean absorbance value at 405 nm wavelength. Sera were diluted 1:100 and representatives are shown. Sera conjugated to diptheria toxoid (DT) are indicated. NMS, normal mouse serum.

FIG. 3 Reactivity of high titre anti-p145 human sera against J peptides. Mean absorbance value (405 nm) is plotted for sera diluted 1:100. Representative samples are shown (GBD, MT, MY, FL, TB, MG). NHS, normal human sera.

FIG. 4 is a graphical representation of circular dichroisum spectra of peptides in the presence of the α-helix inducing solvent, trifluoroethanol (TFE) at 50%. A, J_(I)1; B, J2; C, Jcon; D, p145. Θ, molar ellipticity. Peptides did not show α-helical formation in aqueous solution. Peptides J1, J3 and J4 were also tested and these showed similar profiles to J2.

FIG. 5 is a graphical representation showing native epitope mapping ELISA. Synthetic peptide fragments of C. elegans unc-15 (Table 7B) were coated on a microtitre plate (2 μg per well), incubated with monoclonal antibody (mAb) NE1-6B2 and bound antibody detected with anti-mouse antibody and OPD colorimetric assay at 450 nm.

FIG. 6 is a graphical representation showing chimeric epitope mapping ELISA. Overlapping fragments of C. elegans unc-15 embedded in model helical peptide (Table 8) were coated on a microtitre plate (2 μg per well), incubated with mAb NE1-6B2 and bound antibody detected with anti-mouse antibody and OPD colorimetric assay at 450 nm. Peptides bd10, bd11, bc18, bc23, bd14, bd15 offset by 5 residues. Peptides bc17 to bc25 offset by 1 residue. Control peptides av85, av86 and ba48 contain model helical peptide residues only.

FIG. 7A is a graphical representation showing chimeric minimal epitope mapping ELISA. Truncated fragments of C. elegans unc-15 embedded in model helical peptide (Table 9A) were coated on microtitre plate (2 μg per well), incubated with mAb NE1-6B2 and bound antibody detected with anti-mouse antibody and OPD colorimetric assay at 450 nm. Peptide c1 consists of 15mer epitope alone. Control peptides av85, av86 and ba48 contain model helical peptide residues only.

FIG. 7B is a graphical representation showing chimeric epitope substitution mapping ELISA. Chimeric peptides, derived from bc20 with each residue substituted in turn by a conservative replacement (Table 9B), were coated on a microtitre plate (2 μg per well), incubated with mAb NE1-6B2 and bound antibody detected with anti-mouse antibody and OPD colorimetric assay at 450 nm.

FIG. 8A is a map of C. elegans unc-15 epitope recognised by MAb NE1-6B2. Putative heptad repeat positions a and d indicated above native unc-15 sequence. Epitope recognised by mAb NE1-6B2 shown in bold face.

FIG. 8B is a cylindrical net representation of C. elegans unc-15 helix with 3.5 residues per turn showing the polar face. Helix runs from left to right. Shaded residues interact with mAb NE1-6B2; solid circle is a critical residue; dashed circle is a less critical residue.

FIG. 9 is a graphical representation showing ELISA assay of antibody response to chimeric peptide. Chimeric peptides bc20, ba39, bd1, bd2 and peptide c1 were coated on a microtitre plate (2 μg per well), and incubated with mouse antisera to bd1 (anti-bd1) or bd2 (anti-bd2), or mouse pre-bleed sera (pre-bleed). Bound antibody was detected with anti-mouse antibody and OPD colorimetric assay at 450 nm.

The following single and three letter abbreviations are used for amino acid residues:

Three-letter One-letter Amino Acid Abbreviation Symbol Alanine Ala A Arginine Arg R Asparagine Asn N Aspartic acid Asp D Cysteine Cys C Glutamine Gln Q Glutamic acid Glu E Glycine Gly G Histidine His H Isoleucine Ile I Leucine Leu L Lysine Lys K Methionine Met M Phenylalanine Phe F Proline Pro P Serine Ser S Threonine Thr T Tryptophan Trp W Tyrosine Tyr Y Valine Val V Any residue Xaa X

EXAMPLE 1 Chemicals

All chemicals and solvents used in the following examples were analytical reagent grade, unless otherwise stated. Polystyrene (1% v/v divinylbenzene) p-methylbenzhydrylamine hydrochloride resin (0.81 meq/g or resin substitution), tert-butyloxycarbonyl (t-Boc) amino acids, 1,3-diisopropylcarbodiimide (DIC), N-hydroxybenzotriazole (HOBT), trifluoroaceteic acid (TFA) were purchased from Auspep (Australia).

EXAMPLE 2 Subjects

Aboriginal subjects, some with present or past history of RF/RHD, who were residents of streptococcal endemic communities of the Northern Territory, Australia were studied. Over 90% of these subjects have been found to have naturally occurring antibodies to p145 (Pruksakorn et al, 1994a). Serum from donors was stored at −20° C. until use.

EXAMPLE 3 Mice

B10.BR mice (Animal Resources Centre, Willetton, Western Australia), which have been shown to respond to p145 were used for immunisation studies.

EXAMPLE 4 Peptide Synthesis

Peptides were synthesised by manual solid-phase technique using the simultaneous multiple peptide syntheses “tea-bag” method of Houghten (1985). The starting resin was p-methylbenzhydrylamine hydrochloride and conventional N-tert-butyloxycarbonyl (t-Boc) chemistry was used (Merrifield, 1963). All amino acid groups were protected at the α-amino position with the t-Boc group and the following side-chain protecting groups were used; benzyl ester (Glu, Asp), 2-chlorobenzyloxycarbonyl (Lys), benzyl (Ser), tosyl (Arg).

Amino acid coupling were carried out with 1,3-diisopropylcarbodiimide in dichloromethane and t-Boc groups removed at each cycle with 55% v/v TFA/dichloromethane. N-hydroxybenzotriazole was included in couplings with Asn and Gln. The peptides were cleaved from the resin by treatment with hydrogen fluoride, precipitated with diethyl ether and lyophilised from 10% v/v acetic acid.

Crude peptides were purified on a semi-preparative C18 reverse-phase HPLC column (Biorad) using a linear gradient from 2% v/v acetonitrile in water to 100% v/v acetonitrile (both solvents containing 0.1% v/v TFA). The purified peptides were homogeneous as determined by reversed phase HPLC and laser-desorption time-of flight mass spectrometry (LaserMat, FinniganMat, UK).

The peptides synthesised in accordance with the present invention are shown in Tables 1A, 1B and 1C. Peptides 144, 145 and 146 are overlapping peptides contained within the conserved C-terminal region of the M protein. Jcon is a model peptide based on the haptad repeat of the yeast protein, GCN4. Peptides J1-J9 are hybrid peptides based on the Jcon peptide and p145. 145.1-145.5 and J_(I)1-J_(I)9 represent shorter sequences within the p145 sequence. Peptides 169 and 171 are derived from human cardiac muscle myosin (Liew et al, 1990) and human skeletal muscle myosin (Saez et al, 1986), respectively, and showed the greatest homology between these proteins and p145.

EXAMPLE 5 T Cell Proliferation Assays

For sensitisation of murine T cells, animals were immunised in the base of the tail with 30 μg of emulsified peptide and draining lymph node cells taken on day 8 and stimulated in vitro with antigen as previously described (Pruksakorn et al 1994b). After four days, cultures were pulsed with 0.5 μCi of ³H-thymidine to determine the extent of proliferation. Lymphocyte activation was measured by estimating the stimulation index [SI] (proliferation in presence of specific peptide/proliferation in absence of peptide).

Human peptide-specific T cell proliferation was determined by culturing human peripheral blood lymphocytes (PBL) with peptide (or no peptide for control) and estimating lymphocyte proliferation after six days, as described (Pruksakorn et al 1994b). Lymphocyte activation was determined in as described above for murine assays.

EXAMPLE 6 Comparison of Protein Sequences

The protein sequences for human cardiac muscle myosin and human skeletal muscle mysoin were searched for homology with the 20 amino acid sequence for p145 using the GCG (Wisconsin) program, BESTFIT. The regions of homology with p145 are represented by two peptides 169 and 171 (Table 1C).

EXAMPLE 7 Circular Dichroism (CD) Spectra

These were recorded at room temperature with an Aviv 62DS CD spectrometer (Lakewood, N.J.). Peptides were at a concentration of 20 mM or 40 mM in 10 mM Na phosphate buffer, pH 7.0, 50% v/v trifluoroethanol. Data were collected at 1 nm intervals from 250 nm to 190 nm. Ellipticity is reported as mean residue ellipticity [Θ].

EXAMPLE 8 Production of Murine Antisera

B1O.BR and B1O.D2 mice were immunised subcutaneously in the base of the tail (Pruksakorn et al, 1992). A 50 μL total volume was given, containing 30 μg peptide dissolved in PBS and emulsified in complete Freund's adjuvant. Peptides 145.1-145.5 were conjugated to diptheria toxoid (DT) using glutaraldehyde fixation, prior to immunisation, whereas all other peptides were administered unconjugated. Mice were boosted with 30 μg of conjugated peptide in PBS.

EXAMPLE 9 ELISA

The protocols for ELISA have been previously described (Pruksakorn et al 1992; 1994a). Peptides were coated at a concentration of 0.5 μg/ml except for peptides 145.1-145.5, and J_(I)1-J_(I)9 where 1 μg/ml was used.

Titers for mouse and human sera were calculated as significant if greater than three standard deviations above mean for normal mouse sera or above background (no serum) for human sera. Peptide-specific antibody depletion assays were performed with human sera by incubation in peptide (p145)-coated plates until specific binding was nearly exhausted. As a negative control, sera were similarly incubated in plates coated with an irrelevant schistosoma peptide. The p145 deficient or schistosoma-deficient sera was then transferred to plates coated with a test peptide to determine the presence of antibodies to the test peptide. All reactions were developed with OPD substrate kit (Sigma Chemical Co) and the absorbance read at 450 nm.

EXAMPLE 10 Peptide Inhibition of Opsonization

Human sera were heat inactivated at 60° C. for 15 minutes. Serum was then incubated with 100 μg of peptide or PBS for 30 minutes prior to the addition of GAS and fresh donor whole heparinised blood. The percentage inhibition was calculated by comparing the colony forming units growing with and without peptide and relative to the control of no added human sera.

EXAMPLE 11 Rationale for Design of Chimeric Peptides

If an epitope is known to reside within a particular protein structural conformation, such as a α-helical coiled coil, then a model peptide can be synthesised to fold to this conformation. This peptide will become the framework peptide. Model peptides that fold into an α-helical coiled coil have been studied. In the design of a parallel two stranded coiled coil motif, several general considerations are important (Cohen and Parry, 1990). The a and d positions have large apolar residues, positions b, c and f are generally polar and charged, positions e and g usually favour interchain ionic interactions (i.e. the acid/base pair of Glu/Lys). It has also been noted that when positions a and d are occupied by V and L, or I and L, a coiled coil dimer is favoured whereas I and I favours trimer formation and L and I favour tetramer interactions (Harbury et al. 1994).

A model α-helical coiled coil peptide was designed based on the structure of a peptide corresponding to the GCN4 leucine zipper (O'Shea et al. 1989; 1991). This peptide has a seven residue leucine repeat (in the d position) and a consensus Val in the a position. The first heptad contains the sequence:

M K Q L E D K (SEQ ID NO:3),

which includes several of the features found in a stable coiled-coil heptad repeat. These include an acid/base pair (Gly/Lys) at positions e and g, polar groups in positions b, c and f (consistent with the prediction of Lupas et al (1991)). A model heptad repeat was derived from the consensus features of the GCN4 leucine zipper peptide:

V K Q L E D K (SEQ ID NO:2),

which when repeated would give a model peptide, (VKQLEDK)_(n), with the potential to form a α-helical coiled coil. Such a model peptide comprised of four heptad repeats is denoted (GCN4)₄ [FIG. 1A]. Overlapping fragments of a conformational epitope under study are then embedded within the model coiled coil peptide, to register with the heptad repeat, to give a chimeric peptide.

EXAMPLE 12 Streptococcal M Protein Peptides

The streptococcal M protein peptide p145 was prepared as previously described (Pruksakorn et al., 1992, International Patent Application No. PCT/AU93/00131 [WO 93/21220]) as were the truncated fragments 145.1, 145.2, 145.4, 145.5, 145.12, 145.13, 145.14 (Pruksakorn, 1994) which are shown in Tables 1A and 1B.

The sequence of the streptococcal M protein, in the region of peptide p145, was analysed for coiled-coil heptad repeats and the putative heptad positions a to g assigned (FIG. 1B). Peptide p145 was split into nine 12mer peptides overlapping by 1 residue and, by addition of flanking GCN4 peptides, embedded into the (GCN4)₄ framework peptide to give nine J chimeric peptides (J1-J9) as shown in FIG. 1C. Conservative amino acid substitutions were incorporated into the J peptides whenever an identical residue was found in both the GCN4 model peptide and the p145 sequence. A control peptide (Jcon), based on the GCN4 model peptide shown in FIG. 1A, was synthesised that also contained all these conservative amino acid substitutions (FIG. 1D).

Chimeric peptides J1-4 and control peptide Jcon were HPLC purified. Peptides J5-9 were used as synthesised.

EXAMPLE 13 The Immunodominant Epitope on Peptide 145 is Conformational

It was initially attempted to map the minimal epitope within p145 using overlapping eight-mer and 12-mer peptides within p145 (peptides 145.1-145.5, J_(I)1, J_(I)5, J_(I)7 (Tables 1A and 1B). Mouse anti-p145 antisera did not recognise the overlapping p146 (Table 1C) nor any of the shorter peptides within p145 even through a p145-specific immune response could be generated in mice using two of the shorter peptides (145.1, 145.5) conjugated to diphtheria toxoid (Table 2). Results were similar whether immunising peptides were conjugated to diphtheria toxoid or unconjugated. While more than 90% of humans living in areas of high exposure to GAS have antibodies to p145, the majority of such human sera with high titers (>6,400) to p145 did not react with the shorter peptides (J_(I)1-J_(I)9) (Tables 1B, 3). These results indicate that although there are one or more linear epitopes within p145, there is also a dominant conformational epitope that is recognised following immunisation with p145 or following natural exposure to GAS. Circular dichroism indicated that although p145 had helical propensity (in 50% TFE), a shorter 12-mer peptide (J_(I)1: LRRDLDASREAK [SEQ ID NO:23]) did not (FIG. 4), further suggesting that the immunodominant epitope expressed by p145 was conformational.

EXAMPLE 14 Mapping the Conformational Epitope

A strategy was then developed to use an unrelated protein that also displayed heptad periodicity similar to the M protein with hydrophobic and helix promoting residues and to embed sequences from p145 within this other peptide. The peptide chosen was based on the leucine zipper motif in GCN4, the DNA binding protein of yeast (O'Shea et al, 1991). The consensus sequence of the heptad repeat present in GCN4 is Val-Lys-Gln-Leu-Glu-Asp-Lys and a 28 amino acid peptide based on this repeat was designed with a few substitutions to give a peptide designated “Jcon” (Table 1B). A 12 amino acid window of peptide 145 sequence was inserted into the Jcon peptide in such a way as to preserve any potential helical structure. The window was shifted one residue at a time to give nine peptides (J1→J9) that represented the entire p145 sequence. The corresponding 12 amino acid insert sequences (J_(I)1→J_(I)9), were also synthesised for control purposes (Table 1B).

P145 mouse antibodies displayed a range of reactivity to the J chimeric peptides (FIG. 2). Some of these J peptides (i.e. J7, J8) contained the same 12mer sequences as above (145.12, 145.13, 145.14, respectively), but presented within the GCN4 framework (i.e. J1, J5, J7). Some sera reacted with J peptides representing the N-terminal residues of p145 (i.e. J1, J2), some with C-terminal residues and some with both (i.e. J1, J2, J4, J7, J8) (FIG. 2). None of the sera reacted with Jcon sequence.

Human sera containing high titre 145 antibody showed a similar spectrum of specificity to the J peptides giving a “fingerprint” of peptide specific antibodies. All human sera reacted with J2 (FIG. 3). Two sera reacted with all J peptides as well as the Jcon peptide. In these cases, specific responses to the J peptides may be masked by crossreactivity to a GCN4-like structure. All remaining human sera failed to react with the G peptide indicating specific responses to the p145 sequences.

Sera from humans living in an area of high streptococcal exposure and from mice immunized with p145 were then tested for their ability to bind these chimeric peptides. Twenty three human sera with titers to peptide 145 exceeding 6,400 were tested (Table 3). Antibodies in 19 of these sera bound one or more chimeric peptides with similarly high titer, but did not recognise any of the overlapping 8-mer peptides 145.1→145.5 at all. Four sera reacted to one (J_(I)3) of the 9 overlapping 12-mer peptides tested (J_(I)1→J_(I)9) at a titer of >3,200 (Table 3). None of 11 sera tested which did not contain antibodies to p145 contained antibodies to any of the chimeric peptides strongly suggesting that antibodies reacting with p145 were also reacting with the chimeric peptides. The chimeric peptide most commonly recognised by anti-peptide 145+ve antisera was J2, with some recognition of J1 and J3 (Table 3). To confirm that p145-specific antibodies were recognizing J2, p145 absorption studies were performed and it could be demonstrated that p145-depleted human sera lost the ability to bind to the J2 chimeric peptide that was originally recognised (Table 4). Thus, the core residues recognised consisted of RRDLDASREAKK [SEQ ID NO:24], although for some individuals (who recognised J2 but not J1 nor J3), the core residues were RDLDASREAK [SEQ ID NO:25]. This span corresponds to between 3 and 3.3 turns of an alpha helix. The antibody footprint likely recognises discontinuous residues brought togehter by the helical folding of the peptide. Circular dichroism indicated that the chimeric peptides J1→J4 had propensity for helical formation in 50% TFE (FIG. 4).

As myosin is also a coiled-coil molecule and peptides derived from human muscle have sequence similarity with p145 (Table 1B), these human sera have the potential to recognise cross-reactive epitopes. Only two sera reacted with these peptides (169 and 171) (Table 3) and, hence, there is little crossreaction beween antibodies that recognise p145 and J2 with p169 and p171.

EXAMPLE 15 Conformationally Maintained Peptide J2 Can Bind Opsonic Antibodies

To determine whether human antibodies specific for peptide J2 could mediate opsonisation, it was investigated whether free J2 peptide could inhibit opsonisation by human antisera. This assay has been used to demonstrate that p145 itself is the target of opsonic human antibodies. J2 (100 μg/ml) was thus added to sera containing high titers of antibodies to p145 to determine its effect on opsonisation and was found to inhibit opsonisation by three of three sera containing antibodies to J2 (Table 5) but not by sera without anti-J2 antibodies. An irrelevant 20-mer peptide copying a non-streptococcal sequence did not inhibit opsonisation.

EXAMPLE 16 The T Cell Epitope on Peptide 145 Can Be Distinguished From the B Cell Epitope

To determine whether T cells recognised the same region of the peptide as the critical antibody-binding peptides, responder B10.BR mice were immunized with p145 and draining lymph node cells stimulated with p145, J2 and J_(I)2. There was significantly less recognition of J2 and J_(I)2 (Table 6). Peripheral blood T cells from 21 RHD aboriginal patients and 8 control aboriginal subjects were also tested for response to peptide J2. No response was detected from the control group to peptide, and non responded to peptide J2.

EXAMPLE 17 Human Antibodies to P145, J2 and J7 Can Opsonise Group A Streptococci in the Presence of Human Neutrophils

Antibodies to p145 were affinity purified using a column displaying multiple copies of p145. Protein A-purified antibodies were then passed over the column and p145-specific antibodies eluted. Prior to passing over the column, antibodies that recognised p145 and tetanus toxoid were present in the immunoglobulin preparation. After passage, antibodies to p145 were still present, but antibodies to tetanus toxoid were no longer detectable. These antibodies and a control preparation of the same amount of human antibodies without reactivity to p145 were then used in an opsonisation assay. As shown in Table 10, purified anti-p145 antibodies could reduce the number of colonies of type 5 group A streptococci by between 58 and 94% (mean: 80%) compared with control immunoglobulins.

Various synthetic peptides were then added to these purified antibodies and their effect on opsonisation was determined (Table 11). Peptides used were p145, J2, J7 and a non-specific peptide copying a schistosome sequence. Free p145 could inhibit opsonisation by 73-88% (mean: 83%) compared to the non-specific peptide, free J2 could inhibit opsonisation by 89-93% (mean: 92%) and free J7 could inhibit opsonisation by 82-86% (mean: 84%). These data indicate that human antibodies specific for p145, J2 and J7 are able to opsonise group A stretococci.

EXAMPLE 18

To illustrate an approach to mapping epitopes within α-helical coiled coil proteins, a region within the Caenorhabditis elegans paramyosin protein was studied in detail. As is common to other coiled coil containing proteins, nematode paramyosin contains a seven-residue periodicity strongly suggesting that a large proportion of the molecule is in a coiled coil conformation. Paramyosin, a core protein of the thick filament in many invertebrates, is encoded in C. elegans by a single gene, unc-15 (Waterston et al, 1977). Several unc-15 mutants have altered phenotypes resulting in highly disorganised muscle structure. One of these, allele e1215, was shown to have a weakly uncoordinated phenotype and analysis of the gene indicated a single amino acid substitution ⁸⁰⁹Q to R (Gengyo-Ando and Kagawa, 1991). The epitope recognised by monoclonal antibody (mAb) NE1-6B2, which failed to react with paramyosin from the e1215 mutant, was mapped to this point mutation.

The approach employed was to use overlapping peptides derived from a α-helical coiled coil conformational epitope and embed these peptides between helical flanking peptides derived from a completely unrelated protein with a similar native conformation. The resulting chimeric peptides can be tested for immunological activity, i.e. antigenicity (recognition by mAb) or immunogenicity (production of appropriate antibody response). In the case of the C. elegans paramyosin protein, unc-15, the structure is thought to be an α-helical coiled coil and this conformation may need to be present for optimal immunological response with respect to the epitope recognised by mAb. A series of chimeric peptides based on unc-15 has enabled fine mapping of the minimal B cell epitope recognised by mAb NE1-6B2. This approach has the potential to map conformational epitopes and design minimal epitopes for use as vaccine candidates.

(i) Rationale For Design of Chimeric Peptides

If an epitope is known to reside within a particular protein structural conformation, i.e. α-helix, then a model peptide can be synthesised to fold to this conformation. This peptide will become the framework peptide. Model peptides that fold into an α-helical coiled coil have been well studies. In the design of a parallel two-stranded coiled coil motif (a-b-c-d-e-f-g)_(n), several general considerations are important (Cohen and Parry, 1990). The a and d positions have large apolar residues, positions b, c, f are generally polar and charged, and positions e and g will usually favour interchain ionic interactions (i.e. the acid/base pair of glu/lys). It has also been noted that when positions a and d are occupied by V and L, or I and L, a coiled coil dimer is favoured whereas I and I favour trimer formation, and L and I favour tetramer interactions (Harbury et al 1994).

A model α-helical coiled coil peptide based on the structure of a peptide corresponding to the GCN4 leucine zipper (O'Shea et al 1989, 1991) was designed. This peptide has a seven residue leucine repeat (in the d position) and a consensus valine (in the a position). The first heptad contains the sequence: M K Q L E D K [SEQ ID NO:3] which includes several of the features found in a stable coiled-coil heptad repeat. These include an acid/base pair (glu/lys) at positions e and g, and polar groups in positions b, c, f. A model heptad repeat was derived from the consensus features of the GCN4 leucine zipper peptide: V K Q L E D K [SEQ ID NO:3], which when repeated would give a model peptide, (V K Q L E D K)_(n), with the potential to form a α-helical coiled coil. Overlapping fragments of a conformational epitope under study can be embedded within the model coiled coil peptide to give a chimeric peptide.

(ii) Native Peptide Epitope Mapping of Overlapping Fragments of unc-15

The sequence of the C. elegans unc-15 paramyosin protein, in the region of epitope recognised by mAb NE1-6B2, was analysed for coiled coil heptad repeats and the putative heptad positions a to g assigned (Table 7A).

In an initial attempt to map the mAb NE1-6B2 epitope within the unc-15 protein, overlapping 21mer peptides offset by 1 amino acid residue were synthesised (Table 7B) and assayed by ELISA. Peptide ba39 had the highest ELISA reactivity suggesting that a 21mer peptide is long enough for recognition of the epitope. Monoclonal antibody reactivity was restricted to peptides ba37 through c9 (FIG. 5). The negative reactivity of mAb for peptide ba36 delineates the extent of the epitope towards the C terminus of the protein and confirms the requirement of the ⁸⁰⁹Q residue within the epitope (Gengyo-Ando and Kagawa, 1991). Antibody reactivity decreases as peptides are truncated from the N terminus, with peptide c9 only weakly recognised, suggesting the minimal epitope resides between the overlap of peptide ba37 and c8: the 14mer peptide ADRLTEKLNIQKRQ [SEQ ID NO:26]. However, maximal reactivity is found with peptide ba39, a much longer 21mer peptide MAQDTADRLTEKLNIQKRQLA [SEQ ID NO:43] which could be considered the optimal native epitope.

(iii) Chimeric Peptide Epitope Mapping of unc-15

The unc-15 protein region containing the mAb NE1-6B2 epitope was split into six 15mer peptides offset by 5 residues and, by addition of hexamer helical flanking peptides, embedded into the α-helical coiled coil framework to give chimeric peptides bd10, bd11, bc18, bc23, bd14 and bd15 (Table 8A). This sliding window of 15 residues would contain over 4 complete turns of an α-helix (3.5 residues per turn). Peptides bc18, bc23 and bd14 contain the essential residue ⁸⁰⁹Q. The helical flanking peptides were based on the model α-helical coiled coil peptide (VKQLEDK)_(n) and were added in frame with the coiled coil protein heptad repeat periodicity of unc-15. Conservative amino acid substitutions were incorporated into the chimeric peptides whenever an identical residue was found in both the helical model peptide and the unc-15 sequence. These replacements were designed to ensure correct helical coiled coil conformations (Cohen and Parry, 1990). The following substitutions were used: position a, V to I (hydrophobic residue, dimer favouring); b, K to R (similar charged functional group); c, Q to N (same functional group); d, L to A (hydrophobic residue); e, E to Q (similar sized residue); f, D to E (same charged functional group); g, K to R (similar charged functional group). All of these replacement residues are commonly found at their respective position in coiled coil proteins (Lupas et al, 1991). Only chimeric peptide bc18 was recognised in ELISA by mAb NE1-6B2 (FIG. 6). This crude epitope mapping suggested that the 25mer peptide overlap between ⁷⁹⁰V and ⁸¹⁴E derived from peptides bd11 and bc23, contained the epitope. Control peptides, av85 and av86, based on the (V K Q L E D K)_(n) model peptide and (V K Q L E D K)₃ (peptide ba48) were not recognised by mAb NE1-6B2.

The unc-15 protein was now split into 15mer peptides offset by 1 residue to map the mAb NE1-6B2 epitope more precisely. Again, each fragment was embedded within the helical flanking peptides to give the chimeric peptides listed in Table 8B. Maximum ELISA reactivity with mAb NE1-6B2 was obtained for peptide bc20 (FIG. 6). Activity was minimal after removal of the ⁸⁰⁹Q residue (peptide bc17) to the C terminus and the ⁷⁹⁸R residue (peptide bc22) to the N terminus of the unc-15 peptides embedded within the chimeric peptides. This indicates that the minimal epitope resides between residues ⁷⁹⁸R and ⁸⁰⁹Q, a 12mer peptide: RLTEKLNIQKRQ [SEQ ID NO:27]. This epitope is 2 residues shorter than that defined from the native epitope mapping above (FIG. 5).

(iv) Chimeric Peptide Minimal Epitope Mapping of unc-15

Using the chimeric peptide approach, the optimal epitope contained within peptide bc20 was truncated to better define the minimal epitope recognised by mAb NE1-6B2. The synthesised chimeric peptides are listed in Table 9A. Truncation of the embedded epitope from the C terminus (peptides bd3, bd4) decreased ELISA reactivity as did truncation from the N terminus (peptide be39) (FIG. 7A). Further truncation of residues from either the N and C terminus of the epitope (peptides bd5, bd6, c4, c5) were not well tolerated. However, peptide c6, containing residues ⁸⁰¹E to ⁸¹¹A, was still ELISA reactive. Thus, although overlapping fragment epitope mapping would suggest RLTEKLNIQKRQ (SEQ ID NO:27) to be the minimal epitope, truncation mapping indicates that residues ⁷⁹⁷D, ⁸¹⁰L and ⁸¹¹A flanking this region are critical. This defines the sequence DRLTEKLNIQKRQLA [SEQ ID NO:80] as the minimum optimal epitope. Furthermore, a 15mer peptide consisting of the optimal epitope ⁷⁹⁷D to ⁸¹¹A (peptide c1) was recognised to a lesser degree than the same peptide embedded in the chimeric peptide bc20. This emphasises the need for flanking regions to ensure maximum reactivity.

Mapping of critical residues required in the mAb NE1-6B2 epitope for ELISA reactivity was accomplished by conservative replacement of individual residues. Substitution mapping was based on chimeric peptide bc20 (containing the optimal epitope) and the peptides synthesised are listed in Table 9B. Helical framework residues were substituted for epitope residues according to the model peptide rules above; position a, V; b, K; c, Q; d, L; e, E; f D; g, K. In the case that identical residues were found in the same position between the framework peptide and epitope sequence, then conservative replacement residues were substituted (see chimeric peptide epitope mapping above). ELISA reactivity was abrogated when substitutions were made for residues 798R, ⁸⁰¹E, 805I, ⁸⁰⁸R and ⁸⁰⁹Q in peptides be40, be43, be47, be50 and be51, respectively (FIG. 7B). A decrease in epitope reactivity also was found for two other substitutions, namely ⁷⁹⁷D and ⁸¹¹A in peptides be39 and be53, respectively. Interestingly, substitution at ⁸⁰²K (K to D) and ⁸¹⁰L (L to V) increased reactivity. These results are shown in FIG. 8A. When the sequence of unc-15 containing the mAb NE1-6B2 epitope is shown pictorially as a cylindrical net (FIG. 8B), all the critical residues are found on the hydrophilic face of the helix.

(v) Immunogenecity of Chimeric Peptides

Quackenbush mice were immunised with chimeric peptides to determine the ability to induce an epitope-specific antibody response. Chimeric peptide bc20 was synthesised with an N-terminal cysteine residue for coupling to diphtheria toxoid via a MCS linkage (peptide bd1, CKQLEEKVDRLTEKLNIQKRQLAQLQDKVK [SEQ ID NO:28]). Mice were immunised intra peritoneum with the equivalent of 125 μg of peptide, conjugated to diphtheria toxoid emulsified in Complete Freund's Adjuvant. A boost of 125 μg equivalent peptide-diphtheria conjugate in Incomplete Freund's Adjuvan was administered after 4 weeks. Antisera raised against peptide bd1 recognised peptide bc20 but not peptide ba39 or peptide c1 (FIG. 9). Whilst antisera raised against a control chimeric peptide based on the model helical peptide, with suitable amino acid substitutions, (peptide bd2, CKQLEEKVDRLTEKLNIQKRQLAQLQDKVK) recognised peptide bc20 but not peptide ba39 or peptide c1. Thus, the antibody response raised with the chimeric peptide bd1 was to a conformational epitope only found in peptides bc20 and ba39.

Those skilled in the art will appreciate that the invention described herein is susceptible to variations and modifications other than those specifically described. It is to be understood that the invention includes all such variations and modifications. The invention also includes all of the steps, features, compositions and compounds referred to or indicated in this specification, individually or collectively, and any and all combinations of any two or more of said steps or features.

TABLE 1A List of overlapping synthetic fragments of p145 Peptide Sequence SEQ ID NO: 337                                   356 145 L R R D L D A S R E A K K Q V E K A L E  1 145.1 L R R D L D A S  4 145.2     R D L D A S R E  5 145.3         L D A S R E A K  6 145.4             A S R E A K K Q  7 145.5                 R E A K K Q V E  8 145.12 L R R D L D A S R E A K  9 145.13         L D A S R E A K K Q V E 10 145.14             A S R E A K K Q V E K A 11

Overlapping peptides representing the p145 region of the M protein of group A streptococci; amino acid positions 337 to 356.

TABLE 1B Synthetic Peptides SEQ ID NO: 145         LRRDLDASREAKKQVEKALE  1 145.1         LRRDLDAS  4 145.2           RDLDASRE  5 145.3             LDASREAK  6 145.4               ASREAKKQ  7 145.5                 REAKKQVE  8 Jcon    DKVKQAEDKVKQLEDKVEELQDKVKQLE 22 J1 QLEDKVKQLRRDLDASREAKEELQDKVK 13 J2  LEDKVKQARRDLDASREAKKELQDKVKQ 14 J3   EDKVKQAERDLDASREAKKQLQDKVKQL 15 J4    DKVKQAEDDLDASREAKKQVQDKVKQLE 16 J5     KVKQAEDKLDASREAKKQVEDKVKQLED 17 J6      VKQAEDKVDASREAKKQVEKKVKQLEDK 18 J7       KQAEDKVKASREAKKQVEKAVKQLEDKV 95 J8        QAEDKVKQSREAKKQVEKALKQLEDKVQ 96 J9         AEDKVKQLREAKKQVEKALEQLEDKVQL 97 J_(I)1        LRRDLDASREAK 23 J_(I)2         RRDLDASREAKK 24 J_(I)3          RDLDASREAKKQ 25 J_(I)4           DLDASREAKKQV 29 J_(I)5            LDASREAKKQVE 30 J_(I)6             DASREAKKQVEK 31 J_(I)7              ASREAKKQVEKA 32 J_(I)7               SREAKKQVEKAL 33 J_(I)9                REAKKQVEKALE 34

Footnote: Single letter amino acid code: A, alanine; D, aspartic acid; E, glutamic acid; G, glycine; K, lysine; L, leucine; N, asparagine; Q, glutamine; R. arginine; S, serine; V, valine; Bold residues represent M protein sequence.

TABLE 1C Synthetic Peptides Peptides SEQ ID NOs: p145           LRRDLDASREAKKQVEKALE  1 p169           LRRDIDDLELTLAKVEKEKH 35 p171           LRSDLSRELEEISERLEEAV 36 144 NKISEASRKGLRRDLDASRE 37 146                     AKKQVEKALEEANSKLAALE 38

TABLE 2 Reactivity of p145 derived peptide antisera against p145 derived peptides Mean absorbance₍₄₀₅₎(1:100) against peptide: Sera 145 145.1 145.2 145.3 145.4 145.5 145.12 145.13 145.14 J_(I)1 J_(I)5 J_(I)7 (NMS) 0.9 ± 0.01 0.08 ± 0.003 0.08 ± 0.006 0.22 ± 0.03 0.17 ± 0.05 0.08 ± 0.001 0.07 ± 0.002 0.08 ± 0.01 0.08 ± 0.01 0.07 ± 0.002 0.8 ± 0.01 0.08 ± 0.01 DT 0.09 ± 0.01 0.08 ± 0.002 0.09 ± 0.002 0.15 ± 0.09 0.22 ± 0.07 0.08 ± 0.001 ND ND ND ND ND ND 145 1.44 ± 0.41 0.09 ± 0.002 0.1 ± 0.003 0.19 ± 0.11 0.16 ± 0.06 0.13 ± 0.07 0.11 ± 0.002 0.09 ± 0.004 0.19 ± 0.001 0.11 ± 0.002 0.09 ± 0.004 0.19 ± 0.001 DT-145.1 1.57 2.00 0.100 0.32 0.34 0.08 1.11 ± 0.02 0.09 ± 0.009 0.08 ± 0.002 1.11 ± 0.01 0.09 ± 0.009 0.08 ± 0.002 DT-145.2 0.11 ± 0.05 0.09 ± 0.003 153 ± 0.49 0.15 ± 0.4 1.46 ± 0.4 0.39 ± 0.21 0.12 ± 0.006 0.112 ± 0.009 0.11 ± 0.005 0.12˜0.006 0.112 ± 0.009 0.11 ± 0.005 DT-145.3 0.09 ± 0.002 0.09 ± 0.003 0.08 ± 0.001 2.00 ± 0 0.2 ± 0.11 0.08 ± 0.003 0.1 ± 0.01 0.5 ± 0.04 0.09 ± 0.006 0.1 ± 0.01 0.5 ± 0.04 0.09 ± 0.006 DT-145.4 0.09 ± 0.01 0.1 ± 0.005 1.44 ± 0.61 0.19 ± 0.02 1.11 ± 0.23 0.64 ± 0.52 0.1 ± 0.01 0.1 ± 0.005 0.103 ± 0.005 0.1 ± 0.01 0.1 ± 0.005 0.103 ± 0.005 DT-145.5 0.41 ± 0.28 0.13 ± 0.06 0.26 ± 0.16 0.27 ± 0.02 0.2 ± 0.03 1.97 ± 0.05 0.114 ± 0.008 0.115 ± 0.009 0.12 ± 0.02 0.114 ± 0.008 0.115 ± 0.009 0.12 ± 0.02 Footnote: B10.BR mice were immunized with the given immunogen and antibodies determined by ELISA using unconjugated peptide as capture antigen and sera at a dilution of 1:100. NMS, normal mouse serum; DT, diphtheria toxoid; ND, not done. The bold figures show the ELISA O.D. greater than the control NMS sera (mean + 3SD).

TABLE 3 Specificites of Human Sera of Chimeric Peptides Sera I44 pI45 I46 J1 J2 J3 J4 J5 J6 J7 J8 J9 J, 1 J, 2 J, 3 J, 4-9 Jeon MyoPep AB1 ++ +++ − +++ +++ +++ ++ ++ − − − − − − ++ − − − AB2 + +++ + − ++ − − − − − − − − − ++ − − − AB3 − ++ − − +++ +++ − − − − − − − − ++ − − − AB4 +++ +++ +++ − +++ +++ − − − ++ ++ − − − − J, 8 + − − AB5 +++ +++ − ++ ++ ++ − ++ − − − +++ + + − J, 59 + − − AB6 +++ +++ +++ +++ +++ +++ − − − − − − + − − − − − AB7 +++ +++ − +++ +++ +++ − − − − − − ND ND ND ND − − AB8 +++ +++ − +++ +++ ++ − − − − − − ND ND ND ND − − AB9 +++ +++ +++ − ++ − − − − − − − − − − − − − AB10 +++ +++ − ++ ++ − − − − − − − − − − − − − AB11 + ++ − − ++ − − − − − − − − − − − − − AB12 − +++ − +++ ++ − − − − − − − − − − − − − AB13 − +++ − ++ +++ − − − − − − − − − − − + − AB14 − ++ − +++ +++ − − − − − − − − − − − − − AB15 − ++ − ++ +++ − − − − − − − − − − − − − AB16 +++ +++ − +++ +++ − − − − − − − − − − − − − AB17 − +++ − − ++ − − − − − − − − − − − − − AB18 − ++ − − ++ − − − − − − − − − − − − − NAB1 +++ +++ − − ++ ++ − − − − − − − − − − − − NAB2 − +++ − ND ND ND ND ND ND ND ND ND − + + J, 9 + − − AB19 ++ ++ − − − − − − − − − − − − − − − +++ AB20 ++ ++ − − − − − − − − − − − − − − − − AB21 +++ +++ − − − − − − − − − − − − − − − − AB22 − ++ − − − − − − − − − − − − − − − − AB23 ++ +++ − ND ND ND ND ND ND ND ND ND − − − − − − AB24 + + − ++ +++ ++ − − − − − − − − + − − − AB25 ++ + − − + − − − − − − − − − − − − − AB26 − + − + − − − − − − − + − − − − − − AB27 +++ − − − − − − − − − − − − − − − − − NAB3 ++ − − − − − − − − − − − − − − − − − AB28 − − − − − − − − − − − − − − − − − 171++ AB29 − − − − − − − − − − − − − − − − − − AB30 − − − − − − − − − − − − − − − − − − AB31 − − − − − − − − − − − − − − − − − − NAB4 − − − − − − − − − − − − − − − − − − AB32 − − − − − − − − − − − − − − − − − − AB33 − − − − − − − − − − − − − − − − − − AB34 − − − − − − − − − − − − − − − − − − AB36 − − − − − − − − − − − − − − − − − − +++, titer ≧ 12800 ++, 12800 > titer ≧ 6400 +, 6400 > titer ≧ 3200 −, titer ≦ 1600

TABLE 4 Change in J2 titer following pre-incubation with either p145 or schistosoma peptide J2 titer post J2 titer J2 titre pre absorption with post absorption Serum incubation schistosoma peptide with p145 Gumb >12,800 6400 400 TB >12,800 3200 <400 ME >12,800 3200 400 GW >12,800  800 <400

Footnote: Sera were diluted 1:200 and incubated on ELISA plates coated with either p145 or with an irrelevant schistosoma peptide. Sera were taken through five sequential rounds of depletion and p145-specific antibody titers were found to sequentially drop with each round. Sera were then transferred to plates coated with J2 and titers determined.

TABLE 5 Titer against peptide J2 Patient Titer CFU¹ CFU % (Condition) against pJ2 no peptide peptide J2 Inhibition JL (RHD) 12800  230  940 76 NH (RHD) 6400 90 355 75 ME (RHD) 6400 45 245 82 Footnote: ¹CFU, mean colony count from 2 plates × dilution factor. M5 GAS inoculum size = 27.5.

TABLE 6 The Stimulation Index (SI) of Lymph Node Cells Derived from B10.BR Mice Immunised with p145 Stimulating Peptide Stimulation Index p145 29 J2 7.8 J_(I)2 6.45 Tet tox (−ve control) 0.69 PPD (+ve control) 22

Footnote: Mice were immunized with p145 as described and draining lymph node cells challenged in vitro with antigens at concentrations which we have found to be optimal. For the synthetic peptides, the concentration used was 30 μg/ml.

TABLE 7 List of synthetic peptides derived from native C. elegans unc-15 A     ⁷                  ⁸                    ⁸                   ⁸     ⁹                  ⁰                    ¹                   ² SEQ ID     ⁰                  ⁰                    ⁰                   ⁰ NO: g a b c d e f g a b c d e f g a b c d e f g a b c d e f g a b c d e f N F V M A Q D T A D R L T E K L N I Q K R Q L A E S E S V T M Q N L Q 39 B a       d       a     d       a     d       a     d       a ba36 N F V M A Q D T A D R L T E K L N I Q K R 40 ba37   F V M A Q D T A D R L T E K L N I Q K R Q 41 ba38     V M A Q D T A D R L T E K L N I Q K R Q L 42 ba39       M A Q D T A D R L T E K L N I Q K R Q L A 43 ba40         A Q D T A D R L T E K L N I Q K R Q L A E 44 ba41           Q D T A D R L T E K L N I Q K R Q L A E S 45 c7             D T A D R L T E K L N I Q K R Q L A E S E 46 az70               T A D R L T E K L N I Q K R Q L A E S E S 47 c8                 A D R L T E K L N I Q K R Q L A E S E S V 48 c9                   D R L T E K L N I Q K R Q L A E S E S V T 49 az71                     R L T E K L N I Q K R Q L A E S E S V T M 50 Putative heptad repeat positions a and g indicated above native unc-15 sequence Numbering of amino acid residues according to Gengyo-Ando and Kagawa (1991) Essential gln residue ⁸⁰⁹Q shown in bold

TABLE 8 List of synthesized chemeric peptides containing fragments of C. elegans unc-15 A                         ⁷                   ⁸                   ⁸                   ⁸                         ⁹                   ⁰                   ¹                   ²                         ⁰                   ⁰                   ⁰                   ⁰ SEQ ID NO: d       a     d       a     d       a     d       a     d       a     d       a     d       a     d       a bd10 L E D K I K Q E N K N F V M A Q D T A D R L E D R V K Q L 51 bd11           K Q L E D K V V M A Q D T A D R L T E K L N Q L E D K V K 52 bc18                     K V K Q L E E T A D R L T E K L N X Q K R Q V K Q L Q D K 53 bc23                               E E K V K Q A T E K L N X Q K R Q L A E S E D K V K N L E 54 bd14                                         Q A E D R V K I Q K R Q L A E S E S V T M Q L E D K I K Q 55 bd15                                                   V K Q L E D K L A E S E S V T M Q N L Q R V  K Q L E D K V 56 B                       a     d       a     d       a     d       a     d       a     d bc17                   D K V K Q L E D T A D R L T B K L N I Q K R K V K Q L Q D 57 bc18                     K V K Q L E E T A D R L T E K L N X Q K R Q V K Q L Q D K 58 bc19                       V K Q L E E K A D R L T E K L N X Q K R Q L K Q L Q D K V 59 bc20                         K Q L E E K V D R L T B K L N X Q K R Q L A Q L Q D K V K 60 bc21                           Q L E E K V K R L T E K L N Z Q K R Q L A E L Q D K V K Q 61 bc22                             L E E K V K Q L T E K L N X Q K R Q L A E S  Q D K V K Q L 62 bc23                               E E K V K Q A T E K L N X Q K R Q L A B S E D K V K Q L E 63 bc24                                 E K V K Q A E E K L N X Q K R Q L A E S E S K V K Q L E D 64 bc25                                   K V K Q A E D K L N Z Q K R Q L A E S E S V V K Q L E D K 65 C                       a     d       a     d       a     d       a     d       a     d av85                   D K V K Q A E D K V K Q L E D K V E E L Q D K V K Q L E 66 av86                   D K V K Q A E D D L D A S R E A K K Q L Q D K V K Q L E 67 ba48                       V K Q L E D K V K Q L E D K V K Q L E D K 68 Native peptide fragment shown in bold face, helical flanking regions in normal face Conservative replacements in helical flanking regions shown underlined. Putative heptad repeat positions a and d indicated above chimeric peptide sequence

TABLE 9 List of synthetic chimeric peptides containing truncated or substituted fragments of C. elegans unc-15 A                     ⁸                   ⁸                     ⁰                   ¹ SEQ ID                     ⁰                   ⁰ NO:     d       a     d       a     d       a     d       a bd3 K Q L E E K V D R L T E K L N X Q K R Q L K Q L Q D K V K 69 bd4 K Q L E E K V D R L T H K L N X Q K R Q V K Q L Q D K V K 70 bd5 K Q L E E K V K R L T E K L N X Q K R Q L  K Q L Q D K V K 71 bd6 K Q L E E K V K Q L T E K L N X Q K R Q L K Q L Q D K V K 72 bd7 K Q L E E K V K Q A T H K L N X Q K R Q L K Q L Q D K V K 73 bd8 K Q L E E K V K Q A E E K L N X Q K R Q L  K Q L Q D K V K 74 bd9 K Q L E E K V K Q A T E K L N X Q K R Q V K Q L Q D K V K 75 be39 K Q L E E K V K R L T E K L N X Q K R Q L A Q L Q D K V K 76 c4 K Q L E E K V K Q L T E K L N X Q K R Q L A  Q L Q D K V K 77 c5 K Q L E E K V K Q A T E K L N X Q K R Q L A Q L Q D K V K 78 c6 K Q L E E K V K Q A E E K L N X Q K R Q L A Q L Q D K V K 79 c1               D R L T E K L N X Q K R Q L A 80 B     d       a     d       a     d       a     d       a be39 K Q L E E K V K R L T E K L N X Q K R Q L A Q L Q D K V K 81 be40 K Q L E E K V D  Q L T E K L N X Q K R Q L A Q L Q D K V K 82 be41 K Q L E E K V D R  A T E K L N X Q K R Q L A Q L Q D K V K 83 be42 K Q L E E K V D R L  E E K L N X Q K R Q L A Q L Q D K V K 84 be43 K Q L E E K V D R L T  D K L N X Q K R Q L A Q L Q D K V K 85 be44 K Q L E E K V D R L T E  R L N X Q K R Q L A Q L Q D K V K 86 be45 K Q L E E K V D R L T E K  V N X Q K R Q L A Q L Q D K V K 87 be46 K Q L E E K V D R L T E K L  K X Q K R Q L A Q L Q D K V K 88 be47 K Q L E E K V D R L T E K L N  Q Q K R Q L A Q L Q D K V K 89 be48 K Q L E E K V D R L T E K L N X  L K R Q L A Q L Q D K V K 90 be49 K Q L E E K V D R L T E K L N X Q  E R Q L A Q L Q D K V K 91 be50 K Q L E E K V D R L T E K L N X Q K  D Q L A Q L Q D K V K 92 be51 K Q L E E K V D R L T E K L N X Q K R  K L A Q L Q D K V K 93 be52 K Q L E E K V D R L T E K L N X Q K R Q  V A Q L Q D K V K 94 bd3 K Q L E E K V D R L T E K L N X Q K R Q L  K Q L Q D K V K 69 Native peptide fragment shown in bold face, helical flanking regions in normal face. Conservative replacements in helical flanking regions shown underlined. Putative heptad repeat positions a and d indicated above chimeric peptide sequence

TABLE 10 145 Affinity Non-opsonic % Total Purified Animal Mean donor IgG Mean difference IgG (titre to p145) CFU (titre to p145) CFU in CFU titre P101 (3200)  540 C1 (<100) 4880 89 3200 P101 (3200)  540 C2 (<100) 9000 94 3200 P105 (3200) 2040 C1 (<100) 4880 58 3200 P105 (3200) 2040 C2 (<100) 9000 77 3200

TABLE 11 Opsonisation Peptide Inhibition Assay against M5 GAS using affinity purified antibody to Peptide 145 from Aboriginal Patients Peptide 145 Peptide J2 Peptide J7 Mean CFU¹ with Mean %1² %1³ Mean %1 %1 Mean %1 %1 Non specific Mean CFU without CFU to to CFU to to CFU to to Patient peptide (NS) peptide (NP) p145 NS NP pJ2 NS NP pJ7 NS NP A17 3050 3450 11400 73 70 42500 93 92 nt nt nt (C)° A101  940  540 7360 87 93 13800 93 96 6920 86 92 (OHD)† A105 1120 2040 9400 88 76 10520 89 81 6200 82 67 (RHD)† C1† 3780 4100 2440 ni ni 3980 ni ni 5600 32 27 C1 5120 4880 3200 ni ni nt nt nt nt nt nt C2† 4800 4000 3200 ni ni 4600 ni 13 4400 ni 9 C2 9690 9000 9840  8  9 nt nt nt nt nt nt Mean CFU¹ with Non Mean CFU without ELISA TITRE Patient specific peptide (NS) peptide (NP) p145 pJ2 pJ7 TT Total IgG A17 3050 3450 6400 3200 nt <200 6400 (C)° A101  940  540 3200 800 3200 <200 3200 (OHD)† A105 1120 2040 3200 1600 3200 <200 3200 (RHD)† C1† 3780 4100 400 <200 <200 >26500 6784000 C1 5120 4880 <100 nt nt nt 3200 C2† 4800 4000 800 400 400 >26500 1696000 C2 9690 9000 <100 nt nt nt 3200 ¹CFU, mean colong count from 2 plates × dillution factor. nt = not tested. M5 GAS inoculum size experiment = 73. M5 GAS inoculum size experiment † = 36. 2. % NS = percentage inhibition of bactericidal effect calculated against mean CFU non specific peptide. ni = no inhibition. 3. %1 NP = percentage inhibition calculated against CFU no peptide.

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97 20 amino acids amino acid linear unknown 1 Leu Arg Arg Asp Leu Asp Ala Ser Arg Glu Ala Lys Lys Gln Val Glu 1 5 10 15 Lys Ala Leu Glu 20 7 amino acids amino acid linear unknown 2 Val Lys Gln Leu Glu Asp Lys 1 5 7 amino acids amino acid linear unknown 3 Met Lys Gln Leu Glu Asp Lys 1 5 8 amino acids amino acid linear unknown 4 Leu Arg Arg Asp Leu Asp Ala Ser 1 5 8 amino acids amino acid linear unknown 5 Arg Asp Leu Asp Ala Ser Arg Glu 1 5 8 amino acids amino acid linear unknown 6 Leu Asp Ala Ser Arg Glu Ala Lys 1 5 8 amino acids amino acid linear unknown 7 Ala Ser Arg Glu Ala Lys Lys Gln 1 5 8 amino acids amino acid linear unknown 8 Arg Glu Ala Lys Lys Gln Val Glu 1 5 12 amino acids amino acid linear unknown 9 Leu Arg Arg Asp Leu Asp Ala Ser Arg Glu Ala Lys 1 5 10 12 amino acids amino acid linear unknown 10 Leu Asp Ala Ser Arg Glu Ala Lys Lys Gln Val Glu 1 5 10 12 amino acids amino acid linear unknown 11 Ala Ser Arg Glu Ala Lys Lys Gln Val Glu Lys Ala 1 5 10 28 amino acids amino acid linear unknown 12 Val Lys Gln Leu Glu Asp Lys Val Lys Gln Leu Glu Asp Lys Val Lys 1 5 10 15 Gln Leu Glu Asp Lys Val Lys Gln Leu Glu Asp Lys 20 25 28 amino acids amino acid linear unknown 13 Gln Leu Glu Asp Lys Val Lys Gln Leu Arg Arg Asp Leu Asp Ala Ser 1 5 10 15 Arg Glu Ala Lys Glu Glu Leu Gln Asp Lys Val Lys 20 25 28 amino acids amino acid linear unknown 14 Leu Glu Asp Lys Val Lys Gln Ala Arg Arg Asp Leu Asp Ala Ser Arg 1 5 10 15 Glu Ala Lys Lys Glu Leu Gln Asp Lys Val Lys Gln 20 25 28 amino acids amino acid linear unknown 15 Glu Asp Lys Val Lys Gln Ala Glu Arg Asp Leu Asp Ala Ser Arg Glu 1 5 10 15 Ala Lys Lys Gln Leu Gln Asp Lys Val Lys Gln Leu 20 25 28 amino acids amino acid linear unknown 16 Asp Lys Val Lys Gln Ala Glu Asp Asp Leu Asp Ala Ser Arg Glu Ala 1 5 10 15 Lys Lys Gln Val Gln Asp Lys Val Lys Gln Leu Glu 20 25 28 amino acids amino acid linear unknown 17 Lys Val Lys Gln Ala Glu Asp Lys Leu Asp Ala Ser Arg Glu Ala Lys 1 5 10 15 Lys Gln Val Glu Asp Lys Val Lys Gln Leu Glu Asp 20 25 28 amino acids amino acid linear unknown 18 Val Lys Gln Ala Glu Asp Lys Val Asp Ala Ser Arg Glu Ala Lys Lys 1 5 10 15 Gln Val Glu Lys Lys Val Lys Gln Leu Glu Asp Lys 20 25 79 amino acids amino acid linear unknown 19 Leu Tyr Ser Gly Leu Asn Ala Leu Ala Gly Leu Ala Ser Pro Leu Tyr 1 5 10 15 Ser Val Ala Leu Ala Ser Pro Ala Leu Ala Ser Glu Arg Ala Arg Gly 20 25 30 Gly Leu Ala Leu Ala Leu Tyr Ser Leu Tyr Ser Gly Leu Asn Val Ala 35 40 45 Leu Gly Leu Leu Tyr Ser Leu Tyr Ser Val Ala Leu Leu Tyr Ser Gly 50 55 60 Leu Asn Leu Glu Gly Leu Ala Ser Pro Leu Tyr Ser Val Ala Leu 65 70 75 78 amino acids amino acid linear unknown 20 Gly Leu Asn Ala Leu Ala Gly Leu Ala Ser Pro Leu Tyr Ser Val Ala 1 5 10 15 Leu Leu Tyr Ser Gly Leu Asn Ser Glu Arg Ala Arg Gly Gly Leu Ala 20 25 30 Leu Ala Leu Tyr Ser Leu Tyr Ser Gly Leu Asn Val Ala Leu Gly Leu 35 40 45 Leu Tyr Ser Ala Leu Ala Leu Glu Leu Tyr Ser Gly Leu Asn Leu Glu 50 55 60 Gly Leu Ala Ser Pro Leu Tyr Ser Val Ala Leu Leu Tyr Ser 65 70 75 76 amino acids amino acid linear unknown 21 Ala Leu Ala Gly Leu Ala Ser Pro Leu Tyr Ser Val Ala Leu Leu Tyr 1 5 10 15 Ser Gly Leu Asn Leu Glu Ala Arg Gly Gly Leu Ala Leu Ala Leu Tyr 20 25 30 Ser Leu Tyr Ser Gly Leu Asn Val Ala Leu Gly Leu Leu Tyr Ser Ala 35 40 45 Leu Ala Leu Glu Gly Leu Gly Leu Asn Leu Glu Gly Leu Ala Ser Pro 50 55 60 Leu Tyr Ser Val Ala Leu Leu Tyr Ser Gly Leu Asn 65 70 75 76 amino acids amino acid linear unknown 22 Ala Ser Pro Leu Tyr Ser Val Ala Leu Leu Tyr Ser Gly Leu Asn Ala 1 5 10 15 Leu Ala Gly Leu Ala Ser Pro Leu Tyr Ser Val Ala Leu Leu Tyr Ser 20 25 30 Gly Leu Asn Leu Glu Gly Leu Ala Ser Pro Leu Tyr Ser Val Ala Leu 35 40 45 Gly Leu Gly Leu Leu Glu Gly Leu Asn Ala Ser Pro Leu Tyr Ser Val 50 55 60 Ala Leu Leu Tyr Ser Gly Leu Asn Leu Glu Gly Leu 65 70 75 12 amino acids amino acid linear unknown 23 Leu Arg Arg Asp Leu Asp Ala Ser Arg Glu Ala Lys 1 5 10 12 amino acids amino acid linear unknown 24 Arg Arg Asp Leu Asp Ala Ser Arg Glu Ala Lys Lys 1 5 10 12 amino acids amino acid linear unknown 25 Arg Asp Leu Asp Ala Ser Arg Glu Ala Lys Lys Gln 1 5 10 14 amino acids amino acid linear unknown 26 Ala Asp Arg Leu Thr Glu Lys Leu Asn Ile Gln Lys Arg Gln 1 5 10 12 amino acids amino acid linear unknown 27 Arg Leu Thr Glu Lys Leu Asn Ile Gln Lys Arg Gln 1 5 10 30 amino acids amino acid linear unknown 28 Cys Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Asn 1 5 10 15 Ile Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 30 12 amino acids amino acid linear unknown 29 Asp Leu Asp Ala Ser Arg Glu Ala Lys Lys Gln Val 1 5 10 12 amino acids amino acid linear unknown 30 Leu Asp Ala Ser Arg Glu Ala Lys Lys Gln Val Glu 1 5 10 12 amino acids amino acid linear unknown 31 Asp Ala Ser Arg Glu Ala Lys Lys Gln Val Glu Lys 1 5 10 12 amino acids amino acid linear unknown 32 Ala Ser Arg Glu Ala Lys Lys Gln Val Glu Lys Ala 1 5 10 12 amino acids amino acid linear unknown 33 Ser Arg Glu Ala Lys Lys Gln Val Glu Lys Ala Leu 1 5 10 12 amino acids amino acid linear unknown 34 Arg Glu Ala Lys Lys Gln Val Glu Lys Ala Leu Glu 1 5 10 20 amino acids amino acid linear unknown 35 Leu Arg Arg Asp Ile Asp Asp Leu Glu Leu Thr Leu Ala Lys Val Glu 1 5 10 15 Lys Glu Lys His 20 20 amino acids amino acid linear unknown 36 Leu Arg Ser Asp Leu Ser Arg Glu Leu Glu Glu Ile Ser Glu Arg Leu 1 5 10 15 Glu Glu Ala Val 20 20 amino acids amino acid linear unknown 37 Asn Lys Ile Ser Glu Ala Ser Arg Lys Gly Leu Arg Arg Asp Leu Asp 1 5 10 15 Ala Ser Arg Glu 20 20 amino acids amino acid linear unknown 38 Ala Lys Lys Gln Val Glu Lys Ala Leu Glu Glu Ala Asn Ser Lys Leu 1 5 10 15 Ala Ala Leu Glu 20 35 amino acids amino acid linear unknown 39 Asn Phe Val Met Ala Gln Asp Thr Ala Asp Arg Leu Thr Glu Lys Leu 1 5 10 15 Asn Ile Gln Lys Arg Gln Leu Ala Glu Ser Glu Ser Val Thr Met Gln 20 25 30 Asn Leu Gln 35 21 amino acids amino acid linear unknown 40 Asn Phe Val Met Ala Gln Asp Thr Ala Asp Arg Leu Thr Glu Lys Leu 1 5 10 15 Asn Ile Gln Lys Arg 20 21 amino acids amino acid linear unknown 41 Phe Val Met Ala Gln Asp Thr Ala Asp Arg Leu Thr Glu Lys Leu Asn 1 5 10 15 Ile Gln Lys Arg Gln 20 21 amino acids amino acid linear unknown 42 Val Met Ala Gln Asp Thr Ala Asp Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu 20 21 amino acids amino acid linear unknown 43 Met Ala Gln Asp Thr Ala Asp Arg Leu Thr Glu Lys Leu Asn Ile Gln 1 5 10 15 Lys Arg Gln Leu Ala 20 21 amino acids amino acid linear unknown 44 Ala Gln Asp Thr Ala Asp Arg Leu Thr Glu Lys Leu Asn Ile Gln Lys 1 5 10 15 Arg Gln Leu Ala Glu 20 21 amino acids amino acid linear unknown 45 Gln Asp Thr Ala Asp Arg Leu Thr Glu Lys Leu Asn Ile Gln Lys Arg 1 5 10 15 Gln Leu Ala Glu Ser 20 21 amino acids amino acid linear unknown 46 Asp Thr Ala Asp Arg Leu Thr Glu Lys Leu Asn Ile Gln Lys Arg Gln 1 5 10 15 Leu Ala Glu Ser Glu 20 21 amino acids amino acid linear unknown 47 Thr Ala Asp Arg Leu Thr Glu Lys Leu Asn Ile Gln Lys Arg Gln Leu 1 5 10 15 Ala Glu Ser Glu Ser 20 21 amino acids amino acid linear unknown 48 Ala Asp Arg Leu Thr Glu Lys Leu Asn Ile Gln Lys Arg Gln Leu Ala 1 5 10 15 Glu Ser Glu Ser Val 20 21 amino acids amino acid linear unknown 49 Asp Arg Leu Thr Glu Lys Leu Asn Ile Gln Lys Arg Gln Leu Ala Glu 1 5 10 15 Ser Glu Ser Val Thr 20 57 amino acids amino acid linear unknown 50 Ala Arg Gly Leu Glu Thr His Arg Gly Leu Leu Tyr Ser Leu Glu Ala 1 5 10 15 Ser Asn Ile Leu Glu Gly Leu Asn Leu Tyr Ser Ala Arg Gly Gly Leu 20 25 30 Asn Leu Glu Ala Leu Ala Gly Leu Ser Glu Arg Gly Leu Ser Glu Arg 35 40 45 Val Ala Leu Thr His Arg Met Glu Thr 50 55 29 amino acids amino acid linear unknown 51 Leu Glu Asp Lys Ile Lys Gln Glu His Lys Asn Phe Val Met Ala Gln 1 5 10 15 Asp Thr Ala Asp Arg Leu Glu Asp Arg Val Lys Gln Leu 20 25 29 amino acids amino acid linear unknown 52 Lys Gln Leu Glu Asp Lys Val Val Met Ala Gln Asp Thr Ala Asp Arg 1 5 10 15 Leu Thr Glu Lys Leu Asn Gln Leu Glu Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 53 Lys Val Lys Gln Leu Glu Glu Thr Ala Asp Arg Leu Thr Glu Lys Leu 1 5 10 15 Asn Ile Gln Lys Arg Gln Val Lys Gln Leu Gln Asp Lys 20 25 29 amino acids amino acid linear unknown 54 Glu Glu Lys Val Lys Gln Ala Thr Glu Lys Leu Asn Ile Gln Lys Arg 1 5 10 15 Gln Leu Ala Glu Ser Glu Asp Lys Val Lys Asn Leu Glu 20 25 81 amino acids amino acid linear unknown 55 Gly Leu Asn Ala Leu Ala Gly Leu Ala Ser Pro Ala Arg Gly Val Ala 1 5 10 15 Leu Leu Tyr Ser Ile Leu Glu Gly Leu Asn Leu Tyr Ser Ala Arg Gly 20 25 30 Gly Leu Asn Leu Glu Ala Leu Ala Gly Leu Ser Glu Arg Gly Leu Ser 35 40 45 Glu Arg Val Ala Leu Thr His Arg Met Glu Thr Gly Leu Asn Leu Glu 50 55 60 Gly Leu Ala Ser Pro Leu Tyr Ser Ile Leu Glu Leu Tyr Ser Gly Leu 65 70 75 80 Asn 29 amino acids amino acid linear unknown 56 Val Lys Gln Leu Glu Asp Lys Leu Ala Glu Ser Glu Ser Val Thr Met 1 5 10 15 Gln Asn Leu Gln Arg Val Lys Gln Leu Glu Asp Lys Val 20 25 29 amino acids amino acid linear unknown 57 Asp Lys Val Lys Gln Leu Glu Asp Thr Ala Asp Arg Leu Thr Glu Lys 1 5 10 15 Leu Asn Ile Gln Lys Arg Lys Val Lys Gln Leu Gln Asp 20 25 29 amino acids amino acid linear unknown 58 Lys Val Lys Gln Leu Glu Glu Thr Ala Asp Arg Leu Thr Glu Lys Leu 1 5 10 15 Asn Ile Gln Lys Arg Gln Val Lys Gln Leu Gln Asp Lys 20 25 29 amino acids amino acid linear unknown 59 Val Lys Gln Leu Glu Glu Lys Ala Asp Arg Leu Thr Glu Lys Leu Asn 1 5 10 15 Ile Gln Lys Arg Gln Leu Lys Gln Leu Gln Asp Lys Val 20 25 29 amino acids amino acid linear unknown 60 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 61 Gln Leu Glu Glu Lys Val Lys Arg Leu Thr Glu Lys Leu Asn Ile Gln 1 5 10 15 Lys Arg Gln Leu Ala Glu Leu Gln Asp Lys Val Lys Gln 20 25 29 amino acids amino acid linear unknown 62 Leu Glu Glu Lys Val Lys Gln Leu Thr Glu Lys Leu Asn Ile Gln Lys 1 5 10 15 Arg Gln Leu Ala Glu Ser Gln Asp Lys Val Lys Gln Leu 20 25 29 amino acids amino acid linear unknown 63 Glu Glu Lys Val Lys Gln Ala Thr Glu Lys Leu Asn Ile Gln Lys Arg 1 5 10 15 Gln Leu Ala Glu Ser Glu Asp Lys Val Lys Gln Leu Glu 20 25 29 amino acids amino acid linear unknown 64 Glu Lys Val Lys Gln Ala Glu Glu Lys Leu Asn Ile Gln Lys Arg Gln 1 5 10 15 Leu Ala Glu Ser Glu Ser Lys Val Lys Gln Leu Glu Asp 20 25 29 amino acids amino acid linear unknown 65 Lys Val Lys Gln Ala Glu Asp Lys Leu Asn Ile Gln Lys Arg Gln Leu 1 5 10 15 Ala Glu Ser Glu Ser Val Val Lys Gln Leu Glu Asp Lys 20 25 28 amino acids amino acid linear unknown 66 Asp Lys Val Lys Gln Ala Glu Asp Lys Val Lys Gln Leu Glu Asp Lys 1 5 10 15 Val Glu Glu Leu Gln Asp Lys Val Lys Gln Leu Glu 20 25 28 amino acids amino acid linear unknown 67 Asp Lys Val Lys Gln Ala Glu Asp Asp Leu Asp Ala Ser Arg Glu Ala 1 5 10 15 Lys Lys Gln Leu Gln Asp Lys Val Lys Gln Leu Glu 20 25 21 amino acids amino acid linear unknown 68 Val Lys Gln Leu Glu Asp Lys Val Lys Gln Leu Glu Asp Lys Val Lys 1 5 10 15 Gln Leu Glu Asp Lys 20 29 amino acids amino acid linear unknown 69 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Lys Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 70 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Val Lys Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 71 Lys Gln Leu Glu Glu Lys Val Lys Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Lys Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 72 Lys Gln Leu Glu Glu Lys Val Lys Gln Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Lys Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 73 Lys Gln Leu Glu Glu Lys Val Lys Gln Ala Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Lys Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 74 Lys Gln Leu Glu Glu Lys Val Lys Gln Ala Glu Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Lys Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 75 Lys Gln Leu Glu Glu Lys Val Lys Gln Ala Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Val Lys Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 76 Lys Gln Leu Glu Glu Lys Val Lys Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 77 Lys Gln Leu Glu Glu Lys Val Lys Gln Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 78 Lys Gln Leu Glu Glu Lys Val Lys Gln Ala Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 79 Lys Gln Leu Glu Glu Lys Val Lys Gln Ala Glu Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 15 amino acids amino acid linear unknown 80 Asp Arg Leu Thr Glu Lys Leu Asn Ile Gln Lys Arg Gln Leu Ala 1 5 10 15 29 amino acids amino acid linear unknown 81 Lys Gln Leu Glu Glu Lys Val Lys Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 82 Lys Gln Leu Glu Glu Lys Val Asp Gln Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 83 Lys Gln Leu Glu Glu Lys Val Asp Arg Ala Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 84 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Glu Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 85 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Asp Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 86 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Arg Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 87 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Val Asn Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 88 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Lys Ile 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 89 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Asn Gln 1 5 10 15 Gln Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 90 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Leu Lys Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 91 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Glu Arg Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 92 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Asp Gln Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 93 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Lys Leu Ala Gln Leu Gln Asp Lys Val Lys 20 25 29 amino acids amino acid linear unknown 94 Lys Gln Leu Glu Glu Lys Val Asp Arg Leu Thr Glu Lys Leu Asn Ile 1 5 10 15 Gln Lys Arg Gln Val Ala Gln Leu Gln Asp Lys Val Lys 20 25 79 amino acids amino acid linear unknown 95 Leu Tyr Ser Gly Leu Asn Ala Leu Ala Gly Leu Ala Ser Pro Leu Tyr 1 5 10 15 Ser Val Ala Leu Leu Tyr Ser Ala Leu Ala Ser Glu Arg Ala Arg Gly 20 25 30 Gly Leu Ala Leu Ala Leu Tyr Ser Leu Tyr Ser Gly Leu Asn Val Ala 35 40 45 Leu Gly Leu Leu Tyr Ser Ala Leu Ala Val Ala Leu Leu Tyr Ser Gly 50 55 60 Leu Asn Leu Glu Gly Leu Ala Ser Pro Leu Tyr Ser Val Ala Leu 65 70 75 78 amino acids amino acid linear unknown 96 Gly Leu Asn Ala Leu Ala Gly Leu Ala Ser Pro Leu Tyr Ser Val Ala 1 5 10 15 Leu Leu Tyr Ser Gly Leu Asn Ser Glu Arg Ala Arg Gly Gly Leu Ala 20 25 30 Leu Ala Leu Tyr Ser Leu Tyr Ser Gly Leu Asn Val Ala Leu Gly Leu 35 40 45 Leu Tyr Ser Ala Leu Ala Leu Glu Leu Tyr Ser Gly Leu Asn Leu Glu 50 55 60 Gly Leu Ala Ser Pro Leu Tyr Ser Val Ala Leu Gly Leu Asn 65 70 75 75 amino acids amino acid linear unknown 97 Ala Leu Ala Gly Leu Ala Ser Pro Leu Tyr Ser Val Ala Leu Leu Tyr 1 5 10 15 Ser Gly Leu Asn Leu Glu Ala Arg Gly Gly Leu Ala Leu Ala Leu Tyr 20 25 30 Ser Leu Tyr Ser Gly Leu Asn Val Ala Leu Gly Leu Leu Tyr Ser Ala 35 40 45 Leu Ala Leu Glu Gly Leu Gly Leu Asn Leu Glu Gly Leu Ala Ser Pro 50 55 60 Leu Tyr Ser Val Ala Leu Gly Leu Asn Leu Glu 65 70 75 

What is claimed is:
 1. A chimeric peptide comprising: (i) a first amino acid sequence which, in its native state, presents a conformational epitope, said conformational epitope not being present in the first amino acid sequence in an isolated state; and (ii) a second amino acid sequence which has a conformation similar to the native conformation of the first amino acid sequence; wherein the first amino acid sequence is inserted within the second amino acid sequence such that the first amino acid sequence presents the conformational epitope.
 2. A chimeric peptide according to claim 1, wherein said second amino acid sequence assumes a α-helical coiled coil conformation.
 3. A chimeric peptide according to claim 1 or 2, wherein said first amino acid sequence is derived from the streptococcal M protein.
 4. A chimeric peptide according to claim 3, wherein said first amino acid sequence comprising a B-cell conformational epitope from within the amino acid sequence LeuArgArgAspLeuAspAlaSerArgGluAlaLysLysGlnValGluLysAlaLeuGlu (SEQ ID NO:1).
 5. A chimeric peptide according to claim 4, wherein at least three amino acids are selected from the amino acid sequence set forth in SEQ ID NO:1 which constitute a conformational B-cell epitope.
 6. A chimeric peptide according to claim 4, wherein at least five amino acids are selected from the amino acid sequence set forth in SEQ ID NO:1 which constitute a conformational B-cell epitope.
 7. A chimeric peptide according to claim 1 or 2, wherein said first amino acid sequence is derived from Caenorhabditis elegans paramyosin protein unc-15.
 8. A chimeric peptide according to claim 7, wherein said first amino acid sequence comprises a conformational B-cell epitope from which the amino acid sequence CysLysGlnLeuGluGluLysValAspArgLeuThrGluLysLeuAsnIleGlnLysArgGlnLeuAlaGln LeuGlnAspLysValLys (SEQ ID NO:28).
 9. A chimeric peptide according to claim 7, wherein said first amino acid sequence comprises a conformational B-cell epitope from the amino acid sequence MetAlaGlnAspThrAlaAspArgLeuThrGluLysLeuAsnIleGlnLysArgGlnLeuAla (SEQ ID NO:43).
 10. A chimeric peptide according to claim 7, wherein said first amino acid sequence comprises a conformational B-cell epitope from which the amino acid sequence AlaAspArgLeuThrGluLysLeuAsnIleGlnLysArgGln (SEQ ID NO:26).
 11. A chimeric peptide according to claim 7, wherein said first amino acid sequence comprises a conformational B-cell epitope from which the amino acid sequence ArgLeuThrGluLysLeuAsnIleGlnLysArgGln (SEQ ID NO:27). 